William W Bacon (NPI# 1396769634, PAC ID# 4789615618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1396769634 |
| PAC ID by PECOS | 4789615618 |
| Professional Enrollment ID | I20050901000406 |
| Full Name | William W Bacon |
| Organization Legal Name | MILL CREEK FAMILY PRACTICE PLLC |
| Address |
1025 153rd St Se Suite 200 Mill Creek WA 98012-4051 |
| Phone Number | 4253384000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8527099456 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500026 | SWEDISH EDMONDS HOSPITAL |
| 500014 | PROVIDENCE REGIONAL MEDICAL CENTER EVERETT |
| Address | Phone | Organization |
|---|---|---|
| 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 | 4253384000 | MILL CREEK FAMILY PRACTICE PLLC |
| Organization Legal Name | MILL CREEK FAMILY PRACTICE PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Riegel | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Leah A Grant | Nurse Practitioner | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Mark T Anderson | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Stephen S Stukovsky | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Brittany A Armstrong Hoss | Nurse Practitioner | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Matthew G Price | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Leanna K Winant | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Street Address |
1025 153RD ST SE SUITE 200 |
| City | MILL CREEK |
| State | WA |
| Zip | 98012-4051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Riegel | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Leah A Grant | Nurse Practitioner | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Brian D Cameron | Orthopedic Surgery | Proliance Surgeons, Inc., P.s. | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Richard J Kenny | Ophthalmology | King County Public Hospital District No 2 | 1025 153rd St Se, Suite 100, Mill Creek, WA 98012-4051 |
| Mark T Anderson | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Stephen S Stukovsky | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Rachel C. J. Reinhardt | Ophthalmology | King County Public Hospital District No 2 | 1025 153rd St Se, Mill Creek, WA 98012-4051 |
| Brittany A Armstrong Hoss | Nurse Practitioner | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Matthew G Price | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Leanna K Winant | Family Medicine | Mill Creek Family Practice Pllc | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shraddha V Shirsat | Physical Therapy | Therapeutic Associates Inc | 17901 Everrett Hwy, Suite F104, Bothell, WA 98012 |
| Kevin M Norris | Physical Therapy | Therapeutic Associates Inc | 17901 Everrett Hwy, Suite F104, Bothell, WA 98012 |
| Abby I Gordon | Physical Therapy | Therapeutic Associates Inc | 17901 Everrett Hwy, Suite F104, Bothell, WA 98012 |
| Kelsi D Taylor | Physical Therapy | Therapeutic Associates Inc | 17901 Everrett Hwy, Suite F104, Bothell, WA 98012 |
| Lauren K Schweizer | Nurse Practitioner | 17921 Bothell Everett Hwy, Suite 101, Bothell, WA 98012-0013 | |
| Amenda Y W Chou | Optometry | 16030 Bothell Everett Hwy, Suite 105, Mill Creek, WA 98012-0014 | |
| David Lawrence Gilbertson | Chiropractic | Mill Creek Spine and Injury Inc Ps | 16212 Bothell Everett Hwy, Suite E, Mill Creek, WA 98012-1235 |
| Ryan L Doerge | Chiropractic | Mill Creek Spine and Injury Inc Ps | 16212 Bothell Everett Hwy, Suite E, Mill Creek, WA 98012-1235 |
| Janine Marie Simon | Physical Therapy | Redmond Physical Therapy Inc | 16030 Bothell Everett Hwy, Suite 200, Mill Creek, WA 98012-1273 |
| Breeanna R Pumper | Physical Therapy | Redmond Physical Therapy Inc | 16030 Bothell Everett Hwy, Suite 200, Mill Creek, WA 98012-1273 |
| Find all physicians in zip 98012 | |||
| City | MILL CREEK |
| Zip Code | 98012 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MILL CREEK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on William W Bacon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.