Mrs Rhonda Felecia Smith Bass, CERTIFIED NURSE PRAC is a medicare enrolled "Nurse Practitioner" in Wilbu Force, Ohio. Her current practice location is
1055 N Bickett Rd, Wilbu Force, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 708-5507.
Mrs Rhonda Felecia Smith Bass is licensed to practice in Ohio (license number 210745) 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 1700907565.
Provider's Profile
| Full Name | Mrs Rhonda Felecia Smith Bass |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1055 N Bickett Rd, Wilbu Force, Ohio |
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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: 1700907565
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5496740292
- Enrollment ID: I20040422000010
Medical Identifiers
Medical identifiers for Mrs Rhonda Felecia Smith Bass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700907565 | NPI | - | NPPES |
| 2401047 | Medicaid | OH | |
| 328140 | Other | OH | ANTHEM BC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 210745 (Ohio) | Primary |
| 363L00000X | Nurse Practitioner | 210745 (Ohio) | 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. Mrs Rhonda Felecia Smith Bass allows following entities to bill medicare on her behalf.
| Entity Name | Mahajan Therapeutics, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669531810
PECOS PAC ID: 8820236524
Enrollment ID: O20160809001647 |
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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 Rhonda Felecia Smith 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 |
|---|
Mrs Rhonda Felecia Smith Bass, CERTIFIED NURSE PRAC
1101 Larona Rd,
Trotwood, OH 45426
Ph: (937) 854-6514 | Mrs Rhonda Felecia Smith Bass, CERTIFIED NURSE PRAC
1055 N Bickett Rd,
Wilbu Force, OH 45384
Ph: (937) 708-5507 |
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