Jill Bass (NPI# 1417396870, PAC ID# 7416249479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417396870 |
| PAC ID by PECOS | 7416249479 |
| Professional Enrollment ID | I20160712001457 |
| Full Name | Jill Bass |
| Organization Legal Name | PAIN CARE CENTER LLC |
| Address |
170 Arrowhead Dr Suite 2 Evanston WY 82930-9307 |
| Phone Number | 3072126270 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385818681 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530032 | EVANSTON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 170 Arrowhead Dr, Suite 2, Evanston, WY 82930-9307 | 3072126270 | PAIN CARE CENTER LLC |
| Organization Legal Name | PAIN CARE CENTER LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharlotte Jane Shore | Nurse Practitioner | Pain Care Center LLC | 329 Main St, Lander, WY 82520-3101 |
| Parry M Davison | Certified Registered Nurse Anesthetist (crna) | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Jennifer L Rosics | Physician Assistant | Pain Care Center LLC | 329 Main St, Lander, WY 82520-3101 |
| Mandy Jarvis | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Elohor Tessy Muagba | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Rhonda S Mclaughlin | Nurse Practitioner | Pain Care Center LLC | 329 Main St, Lander, WY 82520-3101 |
| Jed Shay | Pain Management | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Robert A Campbell | Physical Medicine and Rehabilitation | Pain Care Center LLC | 329 Main St, Lander, WY 82520-3101 |
| Meghan A Mcmackin | Nurse Practitioner | Pain Care Center LLC | 2620 Commercial Way, Suite 20, Rock Springs, WY 82901-4705 |
| Richard W Carver | Certified Registered Nurse Anesthetist | Pain Care Center LLC | 170 Arrowhead Dr, Evanston, WY 82930-9307 |
| Street Address |
170 ARROWHEAD DR SUITE 2 |
| City | EVANSTON |
| State | WY |
| Zip | 82930-9307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard W Carver | Certified Registered Nurse Anesthetist | Pain Care Center LLC | 170 Arrowhead Dr, Evanston, WY 82930-9307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol D Davis | Occupational Therapy | 612 County Club Dr, Ot Services, Evanston, WY 82930 | |
| Vickie L Wood | Clinical Social Worker | Pioneer Counseling Services | 949 Ctr St, Evanston, WY 82930-3430 |
| William Bruce Bourland | Optometry | 701 Front St, Evanston, WY 82930-3522 | |
| Pamela R Fuller | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Juliet L Jett | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Cora J Klotzbach | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| Denise M Debarre | Clinical Psychologist | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
| David R Russell | Optometry | 720 6th St, Evanston, WY 82930-3702 | |
| Suzanne Petren | Clinical Psychologist | Mountain Regional Services, Inc | 50 Allegiance Cir, Evanston, WY 82930-3804 |
| Sheri L Montgomery | Occupational Therapy | 152 Fox Point Loop Rd, Evanston, WY 82930-4784 | |
| Find all physicians in zip 82930 | |||
| City | EVANSTON |
| Zip Code | 82930 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EVANSTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jill 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.