Chrisenie Brusha Bass, APRN | |
1360 Brickyard Rd, Chipley, FL 32428-6303 | |
(850) 638-1610 | |
Not Available |
Full Name | Chrisenie Brusha Bass |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1360 Brickyard Rd, Chipley, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114780004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11030993 (Florida) | Primary |
Entity Name | Northwest Florida Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336163708 PECOS PAC ID: 2668363771 Enrollment ID: O20050627000512 |
Mailing Address | Practice Location Address |
---|---|
Chrisenie Brusha Bass, APRN 218 Whisper Ln, Midland City, AL 36350-7042 Ph: (334) 695-0782 | Chrisenie Brusha Bass, APRN 1360 Brickyard Rd, Chipley, FL 32428-6303 Ph: (850) 638-1610 |
Lori Dawn Edenfield, ARNP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1410 Brickyard Rd, Samuel E Ward Md Pl, Chipley, FL 32428 Phone: 850-638-3400 Fax: 850-638-9611 | |
Mr. William Mark Garney, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1376 Brickyard Rd, Suite 5, Chipley, FL 32428 Phone: 850-638-4383 Fax: 850-638-4195 | |
Katelyn Hicks, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1360 Brickyard Rd, Chipley, FL 32428 Phone: 850-638-1610 | |
Eileen Mueller Bray, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1338 South Blvd, Chipley, FL 32428 Phone: 850-638-6240 | |
Mr. Zachary William Dickson, ARNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1410 Brickyard Rd, Chipley, FL 32428 Phone: 850-638-3400 | |
Brittany Cox, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4533 Leisure Lakes Dr, Chipley, FL 32428 Phone: 850-814-9783 |