Mrs Kathy Denese Bass, - Medicare Nurse Practitioner in Interlachen, FL

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Mrs Kathy Denese Bass, is a medicare enrolled "Nurse Practitioner - Acute Care" in Interlachen, Florida. Her current practice location is Po Box 170, Interlachen, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 684-0195.

Mrs Kathy Denese Bass is licensed to practice in Florida (license number NP-APRN11000137) 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 1609435239.

Contact Information

Mrs Kathy Denese Bass,
Po Box 170,
Interlachen, FL 32148-0170
(386) 684-0195
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kathy Denese Bass
GenderFemale
SpecialityNurse Practitioner - Acute Care
LocationPo Box 170, Interlachen, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609435239
  • Provider Enumeration Date: 06/07/2019
  • Last Update Date: 12/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062741598
  • Enrollment ID: I20190909004207

Medical Identifiers

Medical identifiers for Mrs Kathy Denese Bass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609435239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care NP-APRN11000137 (Florida)Primary
363LG0600XNurse Practitioner - Gerontology NP-APRN11000137 (Florida)Secondary

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 Kathy Denese Bass allows following entities to bill medicare on her behalf.
Entity NameRoy H Hinman Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649383845
PECOS PAC ID: 3173584174
Enrollment ID: O20041022000798
Entity NameDesai Medical Center For Primary Care And Integrative Medicine Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881831576
PECOS PAC ID: 6507922978
Enrollment ID: O20090310000367
Entity NamePioneer Medical Group Pl
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710315775
PECOS PAC ID: 8224266655
Enrollment ID: O20140110000843
Entity NameIsland Doctors Intrastate Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568083889
PECOS PAC ID: 5395161186
Enrollment ID: O20200811001733

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 Kathy Denese 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
Mrs Kathy Denese Bass,
Po Box 170,
Interlachen, FL 32148-0170

Ph: (386) 684-0195		Mrs Kathy Denese Bass,
Po Box 170,
Interlachen, FL 32148-0170

Ph: (386) 684-0195

Reviews and Comments


Nurse Practitioner Nurses in Interlachen, FL

Amanda Willard, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1213 State Road 20, Interlachen, FL 32148
Phone: 904-698-9098    

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.