Mrs Severine Mia Clemence Basham, PA - Medicare Physician Assistant 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 NameMrs Severine Mia Clemence Basham
GenderFemale
SpecialityPhysician Assistant
Experience17 Years
Location211 E 2nd St, Libby, Montana
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1518144260NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 34352 (Montana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cabinet Peaks Medical CenterLibby, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Libby Clinic54967250386

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 AddressPractice 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

Tanner Ryan Staley,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 211 E 2nd St, Libby, MT 59923
Phone: 406-293-8711    
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    
Cheryl Gourley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 211 E 2nd St, Libby, MT 59923
Phone: 406-293-8711    

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.