Andrew Clyde Bass (NPI# 1912978693, PAC ID# 0941351118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1912978693 |
| PAC ID by PECOS | 0941351118 |
| Professional Enrollment ID | I20090629000362 |
| Full Name | Andrew Clyde Bass |
| Address |
315 Scriven Ave Sw Live Oak FL 32064-2222 |
| Phone Number | 3863624822 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101301 | SHANDS LIVE OAK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 315 Scriven Ave Sw, Live Oak, FL 32064-2222 | 3863624822 |
| Street Address |
315 SCRIVEN AVE SW |
| City | LIVE OAK |
| State | FL |
| Zip | 32064-2222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Workman | Chiropractic | 216 Duval St Nw, Live Oak, FL 32064-1723 | |
| Bruce C Ornstein | Podiatry | 609 5th St Sw, Suite 4, Live Oak, FL 32064-2239 | |
| Michael W Wood | Chiropractic | 328 Howard St W, Live Oak, FL 32064-2306 | |
| Michelle D Morris | Nurse Practitioner | Live Oak Hma Medical Group, LLC | 1116 Sw 11th St, Live Oak, FL 32064-3608 |
| David G Riehn | Anesthesiology | Ams National LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| Gabriel B Mufuka | Internal Medicine | 1116 11th St Sw, Live Oak, FL 32064-3608 | |
| Daniel J Messcher | Family Medicine | Live Oak Hma Medical Group, LLC | 1100 Sw 11th St, Live Oak, FL 32064-3608 |
| Margaret M Grissinger | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| William C Chisholm | Emergency Medicine | Suwannee Emergency Group LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| Babak Saadatmand | Emergency Medicine | Suwannee Emergency Group LLC | 1100 11th St Sw, Live Oak, FL 32064-3608 |
| Find all physicians in zip 32064 | |||
| City | LIVE OAK |
| Zip Code | 32064 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LIVE OAK + GENERAL PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.