Mrs Kathy Denese Bass, is a medicare enrolled "Nurse Practitioner - Acute Care" in Interlachen, Florida. Her current practice location is
Po Box 170, Interlachen, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 684-0195.
Mrs Kathy Denese Bass is licensed to practice in Florida (license number NP-APRN11000137) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609435239.
Provider's Profile
| Full Name | Mrs Kathy Denese Bass |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | Po Box 170, Interlachen, Florida |
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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: 1609435239
- Provider Enumeration Date: 06/07/2019
- Last Update Date: 12/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062741598
- Enrollment ID: I20190909004207
Medical Identifiers
Medical identifiers for Mrs Kathy Denese Bass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609435239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | NP-APRN11000137 (Florida) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | NP-APRN11000137 (Florida) | Secondary |
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. Mrs Kathy Denese Bass allows following entities to bill medicare on her behalf.
| Entity Name | Desai Medical Center For Primary Care And Integrative Medicine Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881831576
PECOS PAC ID: 6507922978
Enrollment ID: O20090310000367 |
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| Entity Name | Pioneer Medical Group Pl |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710315775
PECOS PAC ID: 8224266655
Enrollment ID: O20140110000843 |
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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. Mrs Kathy Denese Bass 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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Mrs Kathy Denese Bass,
Po Box 170,
Interlachen, FL 32148-0170
Ph: (386) 684-0195 | Mrs Kathy Denese Bass,
Po Box 170,
Interlachen, FL 32148-0170
Ph: (386) 684-0195 |
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