Dr SHELLEY M BACON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
WNY MEDICAL PC
4979 HARLEM RD
AMHERST
NY
142262547
Tel: 7169234380
| Npi | 1669966065 |
| Pac Id | 6800146820 |
| Professional Enrollment Id | I20180912000722 |
| Last Name | BACON |
| First Name | SHELLEY |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | WNY MEDICAL PC |
| Group Practice Pac Id | 9335191733 |
| Number Of Group Practice Members | 47 |
| Line 1 Street Address | 4979 HARLEM RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AMHERST |
| State | NY |
| Zip Code | 142262547 |
| Phone Number | 7169234380 |
| Hospital Affiliation Ccn 1 | 330078 |
| Hospital Affiliation Lbn 1 | SISTERS OF CHARITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 330279 |
| Hospital Affiliation Lbn 2 | MERCY HOSPITAL OF BUFFALO |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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