Ms Makynzie Noel Bass, PA-C is a medicare enrolled "Physician Assistant" in Graceville, Florida. Her current practice location is
5429 College Dr, Graceville, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 263-0639.
Ms Makynzie Noel Bass is licensed to practice in Florida (license number PA9113000) 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 1821620816.
Provider's Profile
Full Name | Ms Makynzie Noel Bass |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 5429 College Dr, Graceville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821620816
- Provider Enumeration Date: 02/07/2020
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002244647
- Enrollment ID: I20200317000100
Medical Identifiers
Medical identifiers for Ms Makynzie Noel Bass such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821620816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA9113000 (Florida) | Primary |
363A00000X | Physician Assistant | PA911300 (Florida) | Secondary |
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 Makynzie Noel 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 |
Ms Makynzie Noel Bass, PA-C Po Box 889, Chipley, FL 32428-0889 Ph: () - | Ms Makynzie Noel Bass, PA-C 5429 College Dr, Graceville, FL 32440-1858 Ph: (850) 263-0639 |
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