| |
507 E Oak St, Mc Rae, GA 31055-1637 | |
(229) 868-9899 | |
(229) 868-2890 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 507 E Oak St, Mc Rae, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649453986 | NPI | - | NPPES |
GRP7218 | Other | GA | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR006990 (Georgia) | Primary |
Provider Name | Richard E Bass |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801936869 PECOS PAC ID: 8628063591 Enrollment ID: I20040419001489 |
Mailing Address | Practice Location Address |
---|---|
507 E Oak St, Mc Rae, GA 31055-1637 Ph: (229) 868-9899 | 507 E Oak St, Mc Rae, GA 31055-1637 Ph: (229) 868-9899 |
Dr. Richard Erwin Bass, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 507 E Oak St, Mc Rae, GA 31055 Phone: 229-868-9899 Fax: 229-868-2890 |