Mrs Severine Mia Clemence Basham, PA in Libby, MT

Mrs Severine Mia Clemence Basham, PA is a medicare enrolled "Physician Assistant" in Libby, Montana. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Libby Clinic and her current practice location is 211 E 2nd St, Libby, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 293-8711.

Mrs Severine Mia Clemence Basham is licensed to practice in Montana (license number 34352) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518144260.

Contact Information

	Mrs Severine Mia Clemence Basham, PA
	211 E 2nd St, Libby, MT 59923-2047
	(406) 293-8711
	(406) 293-8735

Map and Direction

Provider's Profile

Full Name	Mrs Severine Mia Clemence Basham
Gender	Female
Speciality	Physician Assistant
Experience	17 Years
Location	211 E 2nd St, Libby, Montana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Severine Mia Clemence Basham graduated from nursing school in 2007

NPI Data:

NPI Number: 1518144260
Provider Enumeration Date: 01/24/2008
Last Update Date: 12/11/2014

Medicare PECOS Information:

PECOS PAC ID: 4183763790
Enrollment ID: I20150119000663

Medical Identifiers

Medical identifiers for Mrs Severine Mia Clemence Basham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518144260	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	34352 (Montana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cabinet Peaks Medical Center	Libby, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Libby Clinic	5496725038	6

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 Severine Mia Clemence Basham 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 Severine Mia Clemence Basham, PA 116 Conifer Rd, Libby, MT 59923-2958 Ph: (406) 293-8711	Mrs Severine Mia Clemence Basham, PA 211 E 2nd St, Libby, MT 59923-2047 Ph: (406) 293-8711

Reviews and Comments

Physician Assistant Nurses in Libby, MT

Mr. Tony Albert Fantozzi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 E 2nd St, Libby, MT 59923 Phone: 406-283-6900
Robert J O'rourke, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 320 E 2nd St, Libby, MT 59923 Phone: 406-283-6900
Mrs. Rosemary Edith Bergroos, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 350 Louisiana Ave, Libby, MT 59923 Phone: 406-293-0133
Mr. Jesse Thomas Brown, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Louisiana Ave, Libby, MT 59923 Phone: 406-293-0190
Elise Mills, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711
Cheryl Gourley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 E 2nd St, Libby, MT 59923 Phone: 406-293-8711

Mrs Severine Mia Clemence Basham, PA - Medicare Physician Assistant in Libby, MT