Dr Sandra E Bacon, DDS in Carmel, IN - Medicare Dentist Provider

Dr Sandra E Bacon, DDS is a medicare enrolled "Dentist - General Practice" provider in Carmel, Indiana. Her current practice location is 1980 E 116th Street, Ste 150, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 848-1771.

Dr Sandra E Bacon is licensed to practice in Indiana (license number 12009028) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164539318.

Contact Information

	Dr Sandra E Bacon, DDS
	1980 E 116th Street, Ste 150, Carmel, IN 46032
	(317) 848-1771
	(317) 848-1371

Healthcare Provider's Profile

Full Name	Dr Sandra E Bacon
Gender	Female
Speciality	Dentist - General Practice
Location	1980 E 116th Street, Carmel, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164539318
Provider Enumeration Date: 08/24/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2961707849
Enrollment ID: I20160302000384

Medical Identifiers

Medical identifiers for Dr Sandra E Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164539318	NPI	-	NPPES
12009028B	Other	IN	IN BOARD OF PHARMACY CSR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	12009028 (Indiana)	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. Dr Sandra E 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 Address	Practice Location Address
Dr Sandra E Bacon, DDS 1980 E 116th Street, Ste 150, Carmel, IN 46032 Ph: (317) 848-1771	Dr Sandra E Bacon, DDS 1980 E 116th Street, Ste 150, Carmel, IN 46032 Ph: (317) 848-1771

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Dentist in Carmel, IN

Dr. Ronald L Miller, MSD, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 715 W Carmel Dr, Ste 201, Carmel, IN 46032 Phone: 317-844-6284 Fax: 317-580-9495
Elizabeth B. Lewis, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12720 Meeting House Rd, Carmel, IN 46032 Phone: 317-571-1900 Fax: 317-569-9695
Dr. O H Rigsbee Iii, DDS Dentist Medicare: Medicare Enrolled Practice Location: 13590 B North Meridian St., Suite 204, Carmel, IN 46032 Phone: 317-574-0612 Fax: 317-564-0614
Nancy Z Halsema, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3965 W 106th St, Suite 100, Carmel, IN 46032 Phone: 317-253-8631 Fax: 317-876-9715
Nadia Samini, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1040 N Rangeline Rd Ste B, Carmel, IN 46032 Phone: 317-846-3436
Fidel Barbosa, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12525 N Meridian St, Carmel, IN 46032 Phone: 317-571-9610 Fax: 317-571-9620
Jack M Miller, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12720 Meeting House Rd, Carmel, IN 46032 Phone: 317-571-1900 Fax: 317-569-9695

Dr Sandra E Bacon, DDS - Medicare Dentist in Carmel, IN