| Sandra Bass, FNP-BC | |
|
7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | |
| (623) 856-2273 | |
| Not Available |
| Full Name | Sandra Bass |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 7219 N Litchfield Rd, Luke Afb, Arizona |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922581909 | NPI | - | NPPES |
| 14369759 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP11541 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Behavioral Health Services Inc | 9739075854 | 34 |
| Entity Name | Southwest Behavioral Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Bass, FNP-BC 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: (623) 856-2273 | Sandra Bass, FNP-BC 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 Ph: (623) 856-2273 |
Jamie Sun Cherup, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-9089 | |
Shelley Morris, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-8943 | |
Ms. Dominique Isabel Rutherford Zuluaga, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-4064 | |
Ms. Felicia Louise Crump, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-4003 | |
Hana Grimm, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7219 N Litchfield Rd, 56 Medical Group, Luke Afb, AZ 85309 Phone: 623-856-7982 | |
Eric Sifuna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-7579 | |
Myrna Asiddao Lim, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7219 N Litchfield Rd, Luke Afb, AZ 85309 Phone: 623-856-7975 |