JOHN RICHARD BACON M.D. NPI 1538162078

Allergy & Immunology - Allergy in Towson, MD

Individual Male Allergy & Immunology Allergy PECOS Enrolled

About JOHN RICHARD BACON M.D.

John Bacon is a provider established in Towson, Maryland and his medical specialization is Allergy & Immunology with a focus in allergy . The NPI number of John Bacon is 1538162078 and was assigned on May 2005. The practitioner's primary taxonomy code is 207KA0200X with license number D0028727 (MD). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI

1538162078

Provider Name JOHN RICHARD BACON M.D.
Provider Location Address120 SISTER PIERRE DR STE 201 TOWSON, MD 21204
Provider Mailing Address120 SISTER PIERRE DR STE 201 TOWSON, MD 21204
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date05-28-2005
Last Update Date05-19-2010



John Bacon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

John Bacon is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code207KA0200X
ClassificationAllergy & Immunology
TypeAllopathic & Osteopathic Physicians
SpecializationAllergy
License No.D0028727
License StateMD

Business Address

JOHN RICHARD BACON M.D.
120 SISTER PIERRE DR
STE 201
TOWSON, MD
ZIP 21204
Phone: (410) 321-0284
Fax: (410) 321-0286

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Mailing Address

JOHN RICHARD BACON M.D.
120 SISTER PIERRE DR
STE 201
TOWSON, MD
ZIP 21204
Phone: (410) 321-0284
Fax: (410) 321-0286


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
B66916MEDICARE ID-TYPE UNSPECIFIED (04)MD
26692-1800MEDICAID (05)MD
B66916MEDICARE UPIN (02)MD

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538162078
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568264014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 2 + 6 + 4 + 0 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1538162078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912993031DR. HASSAN M MAKHZOUMI
Individual
Internal Medicine (Pulmonary Disease)120 SISTER PIERRE DR STE 505
TOWSON, MD 21204
(410) 494-8668
1376521245DR. MARC DENNIS SOKOLOW M.D.
Individual
Internal Medicine120 SISTER PIERRE DR SUITE 105
TOWSON, MD 21204
(410) 825-6500
1962471482 MICHAEL O MAGAN M.D.
Individual
Obstetrics & Gynecology (Gynecology)120 SISTER PIERRE DR SUITE 303
TOWSON, MD 21204
(410) 337-9003
1194786996DR. JACOB TENDLER MD
Individual
Psychiatry & Neurology (Pain Medicine)120 SISTER PIERRE DR SUITE 501
TOWSON, MD 21204
(410) 337-6800
1912961871DR. SUSIE N. CHUNG M.D.
Individual
Obstetrics & Gynecology120 SISTER PIERRE DR SUITE 303
TOWSON, MD 21204
(410) 337-9003
1104864636MS. M ELIZABETH KILBY LCPC
Individual
Counselor (Professional)120 SISTER PIERRE DR SUITE 403
TOWSON, MD 21204
(410) 823-6408
1902831829DR. JOHN PETER AINES JR. PHD
Individual
Psychologist120 SISTER PIERRE DR SUITE 403
TOWSON, MD 21204
(410) 823-6408
1073539839DR. LOIS E NIELSEN MD
Individual
Internal Medicine120 SISTER PIERRE DR SUITE # 206
TOWSON, MD 21204
(410) 296-3650
1306866181 ANN MARIE SMOUSE LCSW-C
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1932113479 DONALD L. HURLEY
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1417961962MS. PATRICIA M. KAMMER
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1689681983DR. ROBERT CIAVERELLI M.D.
Individual
Psychiatry & Neurology (Psychiatry)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1306855317DR. ROBERT CANOSA PH.D.
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1700996600 TERRI LYNN FEELEMYER
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1063522969 JAMES R. KLIMA
Individual
Social Worker (Clinical)120 SISTER PIERRE DR SUITE 407
TOWSON, MD 21204
(443) 279-2000
1518077767DR. ROBERT A CLAYTON M.D.
Individual
Otolaryngology120 SISTER PIERRE DR SUITE 202
TOWSON, MD 21204
(410) 825-3900
1477659332DR. LAURIE S ORGEL M.D.
Individual
Psychiatry & Neurology (Psychiatry)120 SISTER PIERRE DR STE 307
TOWSON, MD 21204
(410) 296-9033
1659479178 JEFFREY STEVEN ALEXANDER MD
Individual
Internal Medicine120 SISTER PIERRE DR SUITE 101
TOWSON, MD 21204
(443) 901-0301
1972667434DR. TIMOTHY HERLIHY M.D.
Individual
Internal Medicine120 SISTER PIERRE DR
TOWSON, MD 21204
(410) 296-5290
1770649949DR. MEERA AJIT RAWTANI M.D.
Individual
Obstetrics & Gynecology (Obstetrics)120 SISTER PIERRE DR SUITE # 504
TOWSON, MD 21204
(410) 337-8802

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
John Richard Bacon M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.