Keith Samuel Bass, NP-C - Medicare Nurse Practitioner in Anna, IL

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Keith Samuel Bass, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Anna, Illinois. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Rural Health, Inc. and his current practice location is 513 N Main St, Anna, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 833-4471.

Keith Samuel Bass is licensed to practice in Illinois (license number 277002840) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114440179.

Contact Information

Keith Samuel Bass, NP-C
513 N Main St,
Anna, IL 62906-1668
(618) 833-4471
Not Available

Map and Direction




Provider's Profile

Full NameKeith Samuel Bass
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location513 N Main St, Anna, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith Samuel Bass graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1114440179
  • Provider Enumeration Date: 07/21/2017
  • Last Update Date: 01/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517230014
  • Enrollment ID: I20170905002980

Medical Identifiers

Medical identifiers for Keith Samuel Bass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114440179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209015848 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 277002840 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rural Health, Inc.680070542719

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. Keith Samuel Bass allows following entities to bill medicare on his behalf.
Entity NameRural Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982666384
PECOS PAC ID: 6800705427
Enrollment ID: O20040518000240

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. Keith Samuel 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 AddressPractice Location Address
Keith Samuel Bass, NP-C
20 Lynwood Ln,
Anna, IL 62906-3265

Ph: (217) 898-3462		Keith Samuel Bass, NP-C
513 N Main St,
Anna, IL 62906-1668

Ph: (618) 833-4471

Reviews and Comments


Nurse Practitioner Nurses in Anna, IL

Mrs. Cassy A Coleman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 517 N Main St, Anna, IL 62906
Phone: 618-833-4511    
Elizabeth Shallenberger, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 517 N Main St, Anna, IL 62906
Phone: 618-833-4511    Fax: 618-833-2414
Jessica Elizabeth Wills, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 513 N Main St, Anna, IL 62906
Phone: 618-833-4471    Fax: 618-833-6267
Ms. Erica Vining, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 513 N Main St, Anna, IL 62906
Phone: 618-833-4471    
Rebecca L Pind, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 517 N Main St, Anna, IL 62906
Phone: 618-833-2295    Fax: 618-833-9058
Krysten Ann Green, MSN,APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 800 N Main St, Anna, IL 62906
Phone: 618-833-4456    Fax: 618-833-2371

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.