Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

William W Bacon, MD

Individual provider Family Medicine Physician · NPI 1396769634

William W Bacon, MD is a Family Practice in Mill Creek, Washington. Graduated from University of Washington School of Medicine in 1986, 40 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
40
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1025 153rd St SE Ste 200
Mill Creek, WA 98012-4051
Phone: (425) 338-4000
Fax: (425) 338-4090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00025683 (WA)

Record details

NPI number1396769634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing addressPo Box 5127, Everett, WA 98206-5127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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