Mr Jeremy A Basse, FNP is a medicare enrolled "Nurse Practitioner - Family" in Garden Valley, Idaho. His current practice location is
856 Banks Lowman Road, Garden Valley, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 462-3533.
Mr Jeremy A Basse is licensed to practice in Idaho (license number NP1025) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578726485.
Provider's Profile
| Full Name | Mr Jeremy A Basse |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 856 Banks Lowman Road, Garden Valley, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578726485
- Provider Enumeration Date: 07/10/2008
- Last Update Date: 03/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 3971630856
- Enrollment ID: I20110412000046
Medical Identifiers
Medical identifiers for Mr Jeremy A Basse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578726485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1036 (Alaska) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP1025 (Idaho) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jeremy A Basse allows following entities to bill medicare on his behalf.
| Entity Name | St Lukes Clinic-treasure Valley Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045 |
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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. Mr Jeremy A Basse is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Jeremy A Basse, FNP
Po Box 270,
Garden Valley, ID 83622-0270
Ph: (208) 462-3533 | Mr Jeremy A Basse, FNP
856 Banks Lowman Road,
Garden Valley, ID 83622-0270
Ph: (208) 462-3533 |
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