Dallas Scott Basham, NP in Crestview Hills, KY

Dallas Scott Basham, NP is a medicare enrolled "Nurse Practitioner" in Crestview Hills, Kentucky. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mayfield Clinic Inc, Mayfield Clinic Inc and his current practice location is 350 Thomas More Pkwy, Suite 160, Crestview Hills, Kentucky. You can reach out to his office (for appointments etc.) via phone at (513) 221-1100.

Dallas Scott Basham is licensed to practice in Kentucky (license number 3003742) 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 1194758029.

Contact Information

	Dallas Scott Basham, NP
	350 Thomas More Pkwy, Suite 160, Crestview Hills, KY 41017-5465
	(513) 221-1100
	(513) 569-5297

Map and Direction

Provider's Profile

Full Name	Dallas Scott Basham
Gender	Male
Speciality	Nurse Practitioner
Experience	23 Years
Location	350 Thomas More Pkwy, Crestview Hills, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dallas Scott Basham graduated from nursing school in 2001

NPI Data:

NPI Number: 1194758029
Provider Enumeration Date: 07/07/2006
Last Update Date: 03/21/2016

Medicare PECOS Information:

PECOS PAC ID: 9931242070
Enrollment ID: I20100211000311

Medical Identifiers

Medical identifiers for Dallas Scott Basham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194758029	NPI	-	NPPES
2328734	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	COA.06624-NP (Ohio)	Secondary
363L00000X	Nurse Practitioner	COA.06624-NP (Ohio)	Secondary
163W00000X	Registered Nurse	RN.178465-1 (Ohio)	Secondary
363L00000X	Nurse Practitioner	3003742 (Kentucky)	Primary
363LA2100X	Nurse Practitioner - Acute Care	3003742 (Kentucky)	Secondary
163W00000X	Registered Nurse	1097793 (Kentucky)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Meadowview Regional Medical Center	Maysville, KY	Hospital
St Elizabeth Edgewood	Edgewood, KY	Hospital
St Elizabeth Grant	Williamstown, KY	Hospital
St Elizabeth Ft Thomas	Fort thomas, KY	Hospital
St Elizabeth Florence	Florence, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayfield Clinic Inc	9133013006	64
Mayfield Clinic Inc	9133013006	64

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. Dallas Scott Basham allows following entities to bill medicare on his behalf.

Entity Name	Mayfield Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013942101 PECOS PAC ID: 9133013006 Enrollment ID: O20040211000719

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. Dallas Scott 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
Dallas Scott Basham, NP Po Box 643398, Cincinnati, OH 45264-3398 Ph: (513) 221-1100	Dallas Scott Basham, NP 350 Thomas More Pkwy, Suite 160, Crestview Hills, KY 41017-5465 Ph: (513) 221-1100

Reviews and Comments

Nurse Practitioner Nurses in Crestview Hills, KY

Amy Kate Riegler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 380 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-341-3015 Fax: 859-341-3215
Mackenzie Bacovin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 651 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-757-4446 Fax: 859-344-1999
Catherine Steinkamp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 651 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-344-1900 Fax: 859-344-4632
Deborah Ruhlman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017 Phone: 859-426-0800 Fax: 859-426-4140
Brent A Plummer, APRN, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 334 Thomas More Parkway, Crestview Hills, KY 41017 Phone: 859-301-5901 Fax: 859-301-5940
Mrs. Katie Franconia Smith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr., Crestview Hills, KY 41017 Phone: 859-341-5400
Mrs. Cathy Sue Kreimer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 351 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-957-0052 Fax: 859-957-0054

Dallas Scott Basham, NP - Medicare Nurse Practitioner in Crestview Hills, KY