Jessie A Bacon, LCSW - Medicare Clinical Social Worker in Fort Hall, ID

Jessie A Bacon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Hall, Idaho. Her current practice location is Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 237-5631.

Jessie A Bacon is licensed to practice in Idaho (license number LCSW-32218) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750507604.

Contact Information

Jessie A Bacon, LCSW
Mission Road Blding 248, Fort Hall Indian Agency,
Fort Hall, ID 83203
(208) 237-5631
(208) 237-5796



Healthcare Provider's Profile

Full NameJessie A Bacon
GenderFemale
Speciality
Experience Years
LocationMission Road Blding 248, Fort Hall, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessie A Bacon attended and graduated from in
  NPI Data:
  • NPI Number: 1750507604
  • Provider Enumeration Date: 04/18/2007
  • Last Update Date: 03/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Jessie A Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750507604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LCSW-32218 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessie A Bacon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessie A Bacon, LCSW
1068 E Reservation Rich Ln,
Blackfoot, ID 83221-7052

Ph: (208) 681-6980
Jessie A Bacon, LCSW
Mission Road Blding 248, Fort Hall Indian Agency,
Fort Hall, ID 83203

Ph: (208) 237-5631

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› Verified 9 days ago


Social Worker in Fort Hall, ID

Akaila Martin, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 29 N Mission Road #240, Fort Hall, ID 83203
Phone: 208-478-4026    Fax: 208-478-4022
Mr. Thayne Andersen, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 717 Mission Road, Fort Hall, ID 83203
Phone: 208-237-5631    Fax: 208-237-5796
Daniel Jerome Hall, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 717 Mission Road, Fort Hall, ID 83203
Phone: 208-237-5631    Fax: 208-237-5796
Ms. Shari L. Newsome, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: Mission Road Building 248, Fort Hall Indian Agency, Fort Hall, ID 83203
Phone: 208-237-5631    Fax: 208-237-5796
Ms. Kristy Lee Broncho, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: Mission Road Blding 248, Fort Hall Indian Agency, Fort Hall, ID 83203
Phone: 208-237-5631    Fax: 208-237-5796
Matthew J Wadsworth, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 717 Mission Road, Fort Hall, ID 83203
Phone: 208-237-5631    Fax: 208-237-5796

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