Kelly Bacon is a Idabel, Oklahoma based nurse anesthetist with 22 years of experience as Nurse Anesthetist. He completed he graduation in 2003. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly Bacon is R0071221 for Anesthesia Administration in Oklahoma. his current practice location is 1301 E Lincoln Rd, Idabel. Patients can reach him at 580-286-7623. Kelly Bacon with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1700844313. Kelly Bacon is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Kelly Bacon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Experience:
22+ years
Medical School Attended:
Other
Graduation Year:
2003
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1301 E Lincoln Rd, Idabel, Oklahoma, 74745-7300
Phone:
580-286-7623
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6103710470
Enrollment ID:
I20211101001542
NPI Number:
1700844313
NPI Enumeration Date:
03 May, 2006
NPI Last Update On:
26 Oct, 2021
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Bacon are as mentioned below.
License Number
Specialization
State
Status
R0071221
Anesthesia Administration
Oklahoma
Primary
R0071221
Anesthesiologist Assistant
Oklahoma
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Alliancehealth Seminole (370229)
Seminole, OK
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kelly Bacon has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Jeff Hopkins Anesthesia Services Pllc (2769776541)
3
Midwest Ok Anesthesia Services Llc (3072880780)
12
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1547, Sedalia, Missouri
Zip:
65302-1547
Phone Number:
660-826-5960
Fax Number:
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Patients can reach Kelly Bacon at 1301 E Lincoln Rd, Idabel, Oklahoma or can call to book an appointment on 580-286-7623.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.