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Geoffrey Bacon

  • Male

Medical Specialty

Professional ID

  • NPI: 1407856610
  • PECOS ID: 8325949449
  • Enrollment ID: I20100826000413
  • Credential(MD, DO, DPM):
  • Medical School: Albany Medical College Of Union University
  • Medical School Graduation Year: 1987

Hospital Service

  • Hospital CCN1: 490093
  • Business Name (LBN)1: Sentara Careplex Hospital
  • Hospital CCN2: 490007
  • Business Name (LBN)2: Sentara Norfolk General Hospital
  • Hospital CCN3: 490052
  • Business Name (LBN)3: Riverside Regional Medical Center
  • Hospital CCN4: 490066
  • Business Name (LBN)4: Sentara Williamsburg Regional Medical Center
  • Hospital CCN5: 490044
  • Business Name (LBN)5: Sentara Obici Hospital

Medical Practices

  • Organization Name: Hampton Roads Otolaryngology Associates Pllc
  • Group Practice ID assigned by PECOS: 7012820848
  • Number of Group Practice member: 10

Location

  • Address1: 5659 Pkwy Dr
  • Address2:
  • City: Gloucester
  • State: Virginia
  • Zip Code: 23061
  • Phone Number: (804)210-1424

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR): Yes