Ms Traci Richele Bass, CERTIFICATE AOD is a
Counselor - Addiction (substance Use Disorder) based in Marin, California. Ms Traci Richele Bass is licensed to practice in * (Not Available) (license number ) and her current practice location is
301 Smith Ranch Rd, Marin, California. She can be reached at her office (for appointments etc.) via phone at
(415) 492-0818.
NPI number for Ms Traci Richele Bass is 1275705873 and her current mailing address is 24 El Dorado Ct, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275705873.
Healthcare Provider's Profile
| Full Name | Ms Traci Richele Bass |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 301 Smith Ranch Rd, Marin, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275705873
- Provider Enumeration Date: 03/24/2008
- Last Update Date: 09/21/2015
Medical Identifiers
Medical identifiers for Ms Traci Richele Bass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275705873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Traci Richele Bass is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Traci Richele Bass, CERTIFICATE AOD
24 El Dorado Ct,
Fairfield, CA 94533-2232
Ph: (707) 746-2605 | Ms Traci Richele Bass, CERTIFICATE AOD
301 Smith Ranch Rd,
Marin, CA 94901-2102
Ph: (415) 492-0818 |
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