Donna L Bacon MD PA
NPI 1306088802ActiveOrganization· Family Medicine· Rockledge, FL
Family Medicine in Rockledge, Florida, registered in NPPES in March 2009. The authorized official on file is Donna L. Bacon, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306088802 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2009 |
| Last updated in NPPES | Oct 31, 2023 |
| Certified by provider | Oct 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | ME71719 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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