Kristen R Bass (NPI# 1093015885, PAC ID# 2769668938) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093015885 |
| PAC ID by PECOS | 2769668938 |
| Professional Enrollment ID | I20110524000370 |
| Full Name | Kristen R Bass |
| Organization Legal Name | WK PIERREMONT FAMILY PHYSICIANS |
| Address |
1811 E Bert Kouns Industrial Loop Suite 400 Shreveport LA 71105-5764 |
| Phone Number | 3182123810 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0143320465 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 | 3182123810 | WK PIERREMONT FAMILY PHYSICIANS |
| Organization Legal Name | WK PIERREMONT FAMILY PHYSICIANS |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Self | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| April C Palmer | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Russell S Carr | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Larry Flake | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Wendy M Moses | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Mary A Crow | Family Practice | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Street Address |
1811 E BERT KOUNS INDUSTRIAL LOOP SUITE 400 |
| City | SHREVEPORT |
| State | LA |
| Zip | 71105-5764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Self | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| April C Palmer | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Stephen Germain Cassiere | Internal Medicine | Wk Pierremont Associates In Internal Medicine | 1811 E Bert Kouns Industrial Loop, Suite 130, Shreveport, LA 71105-5741 |
| Russell S Carr | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Ishita Prakash Patel | Endocrinology | Wk Pierremont Endocrine Center | 1811 E Bert Kouns Industrial Loop, Suite 480, Shreveport, LA 71105-5765 |
| Larry Flake | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Wendy M Moses | Family Medicine | Wk Pierremont Family Physicians | 1811 E Bert Kouns Industrial Loop, Suite 400, Shreveport, LA 71105-5764 |
| Josephine M Futrell | Dermatology | Wk Dermatology Clinic | 1811 E Bert Kouns Industrial Loop, Suite 110, Shreveport, LA 71105-5741 |
| Lyubov Olenina | Endocrinology | Wk Pierremont Endocrine Center | 1811 E Bert Kouns Industrial Loop, Suite 480, Shreveport, LA 71105-5765 |
| Alan J Borne | Internal Medicine | 1811 E Bert Kouns Industrial Loop, Suite 440, Shreveport, LA 71105-5740 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mairus T Mcfarland | General Practice | 3331 Youree Dr, Shreveport, LA 71105-2115 | |
| Suresh Kumar | Neurology | 3555 Youree Dr, Shreveport, LA 71105-2119 | |
| James S Harrold Jr. | Psychiatry | 2924 Knight St, Suite 434, Shreveport, LA 71105-2413 | |
| Kimberly D. Law | Psychiatry | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
| Orlise M Aubrey | Clinical Social Worker | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
| Tom Staats | Clinical Psychologist | Comprehensive Assessments, Inc | 3010 Knight St, Shreveport, LA 71105-2541 |
| Suzannah K York-crump | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
| Elizabeth M Hansen | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
| Carson S Holtzclaw | Physician Assistant | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
| Ayesha Tabassom | Emergency Medicine | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
| Find all physicians in zip 71105 | |||
| City | SHREVEPORT |
| Zip Code | 71105 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SHREVEPORT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kristen R Bass.
| 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.