Mr Andrew Clyde Bass, MEDICAL DOCTOR is a medicare enrolled "General Practice" physician in Live Oak, Florida. His current practice location is
315 South Scriven Ave, Live Oak, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 362-4822.
Mr Andrew Clyde Bass is licensed to practice in Florida (license number ME0017754) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912978693.
Physician's Profile
| Full Name | Mr Andrew Clyde Bass |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 315 South Scriven Ave, Live Oak, 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: 1912978693
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941351118
- Enrollment ID: I20090629000362
Medical Identifiers
Medical identifiers for Mr Andrew Clyde Bass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912978693 | NPI | - | NPPES |
| 16856 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | ME0017754 (Florida) | Primary |
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. Mr Andrew Clyde 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 |
Mr Andrew Clyde Bass, MEDICAL DOCTOR 315 South Scriven Ave, Live Oak, FL 32064 Ph: (386) 362-4822 | Mr Andrew Clyde Bass, MEDICAL DOCTOR 315 South Scriven Ave, Live Oak, FL 32064 Ph: (386) 362-4822 |
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