Anne M Bacon, MD
Individual provider Active NPI Rheumatology Physician · Winchester, VA
NPI 1801865779 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801865779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 0101033874 (VA)
- Practice address
- 1730 Amherst Street
Winchester, VA 22601 - Phone
- (540) 667-6232
- Fax
- (540) 667-1809
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 0101033874 | VA | Yes |
Addresses
Primary practice location
1730 Amherst Street
Winchester, VA 22601
Mailing address
1730 Amherst Street
Winchester, VA 22601
Phone (540) 667-6232
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006018645 | Medicaid | VA |
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All providers in Winchester, VA · Rheumatology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.