Jill Roccaro Bass, APRN, CSN | |
170 Arrowhead Dr Ste 2, Evanston, WY 82930-9307 | |
(307) 212-6270 | |
(307) 212-6271 |
Full Name | Jill Roccaro Bass |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 170 Arrowhead Dr Ste 2, Evanston, Wyoming |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417396870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0000X | Registered Nurse - Pain Management | 320000.1245 (Wyoming) | Secondary |
364S00000X | Clinical Nurse Specialist | 320001245 (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Evanston Regional Hospital | Evanston, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pain Care Center Llc | 4385818681 | 14 |
Entity Name | Pain Care Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023398906 PECOS PAC ID: 4385818681 Enrollment ID: O20111123000314 |
Mailing Address | Practice Location Address |
---|---|
Jill Roccaro Bass, APRN, CSN 2620 Commercial Way Ste 20, Rock Springs, WY 82901-4705 Ph: (307) 212-6270 | Jill Roccaro Bass, APRN, CSN 170 Arrowhead Dr Ste 2, Evanston, WY 82930-9307 Ph: (307) 212-6270 |
James Patrick Fleenor, ANP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373 | |
Tamara Sue Bach, FNP-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 195 Feather Way Ste 100, Evanston, WY 82930 Phone: 307-200-9200 Fax: 307-200-4808 | |
Mr. Eric G Roman, NP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373 | |
Marisha Lee Vanvleet, APRN-CNP, PMHNP-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 724 Front St Ste 404, Evanston, WY 82930 Phone: 307-288-2328 Fax: 307-448-4606 |