Michaela Nicole Bass · 14302 Winterview Pkwy, Midlothian, VA 23113-4386 · Physician Assistant · Ivyrehab Sept, LLC (2024)

Overview

Michaela Nicole Bass is a physician assistant enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is IVYREHAB SEPT, LLC. The business address is 14302 Winterview Pkwy, Midlothian, VA 23113-4386. Published on March 27, 2023.

Enrollment Information

NPI 1750088597 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
PAC ID 8123492519 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20230327001408
Full Name MICHAELA NICOLE BASS
Gender F
Graduation Year 2022
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name IVYREHAB SEPT, LLC
Group Practice PAC ID 7911990908
Number of Group Practice Members 1137
Address 14302 Winterview Pkwy
Midlothian
VA 23113-4386
Telephone 8046016010
Professional Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full
Group Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full

Provider Overview

NPI 1750088597 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
Provider Name MICHAELA NICOLE BASS
Address 3742 Winterfield Rd
Midlothian
VA 23113-9230
Taxonomy Code 363A00000X
Enumeration Date 2023-02-13

Organization Information

Organization Legal Name IVYREHAB SEPT, LLC
Address 14302 Winterview Pkwy
Midlothian
VA 23113-4386
Telephone 8046016010

Doctors with the same organization

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Daniel Merki Family PracticeIvyrehab Sept, LLC2117 Mccomas Way, Suite 105, Virginia Beach, VA 23456-3908
Derek John Tatum Physician AssistantIvyrehab Sept, LLC7225 Bell Creek Rd, Suite 256a, Mechanicsville, VA 23111-3503
Tawanna N King Family PracticeIvyrehab Sept, LLC16260 Bennett Rd, Culpeper, VA 22701-4630
Clare M Mundy Family PracticeIvyrehab Sept, LLC1301 Cedar Rd, Chesapeake, VA 23322-7105
Tierra Leak Family PracticeIvyrehab Sept, LLC905 Battlefield Blvd N, Suite 105, Chesapeake, VA 23320-4875
Benjamin M Shekhtman Physical Medicine and RehabilitationIvyrehab Sept, LLC200 N Glebe Rd, Suite Gr2, Arlington, VA 22203-3755
Jillian Vari Physician AssistantIvyrehab Sept, LLC5421 Patterson Ave, Richmond, VA 23226-2003
David Wallace Family PracticeIvyrehab Sept, LLC1000 Knotts Pointe Ln, Suite 103, Suffolk, VA 23435-1135
Nima Rezaie Sports MedicineIvyrehab Sept, LLC680 Kingsborough Sq, Suite B, Chesapeake, VA 23320-4988
Kwasi Ampomah Physical Medicine and RehabilitationIvyrehab Sept, LLC5301 Providence Rd, Suite 80, Virginia Beach, VA 23464-4128
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Location Information

Street Address 14302 WINTERVIEW PKWY
City MIDLOTHIAN
State VA
Zip Code 23113-4386

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Sushruth Moku Physical Medicine and RehabilitationIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
Thomas Christian Weart Hematology/OncologyIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
Lucia S Morey RheumatologyIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
Lynn Epperson Woodco*ck Nurse PractitionerIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
Jed S Vanichkachorn Orthopedic SurgeryIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
Michelle E. Headley Internal MedicineIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
Lindsay H Sherrard Family PracticeIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
Stacey L Epps NeurologyIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
Wayne T Shaia OtolaryngologyIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
Meredith Rachael Mcdonald Internal MedicineIvyrehab Sept, LLC14302 Winterview Pkwy, Midlothian, VA 23113-4386
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Rachael Block Condrey Physical TherapyTidewater Physical Therapy LLC2925 Polo Pkwy, Midlothian, VA 23113-1453
Gregg D Weinberg Interventional RadiologyCambria Somerset Radiology and Nuclear Medicine Group Inc3600 Salles Ridge Ct, Midlothian, VA 23113-2037
Richard Waller NeurologyCentral Virginia Neurology, Plc14355 Sommerville Court, Midlothian, VA 23113
Erin G Adams DermatologyRva Skin Well PLLC2306 Robious Station Cir, Midlothian, VA 23113-2124
Julia Emmett Clinical Social Worker3711 Reeds Landing Cir, Midlothian, VA 23113-1370
Charles Cavanaugh Hanco*ck Iv ChiropracticActive Chiropractic, Inc2900 Polo Pkwy, Suite 101, Midlothian, VA 23113-1423
Ross N Wlodawsky Maxillofacial SurgeryNiamtu and Alexander Oral and Maxillofacial Surgery PC11319 Polo Pl, Midlothian, VA 23113-1434
Diane Cranendonk Physical TherapyTidewater Physical Therapy LLC2925 Polo Pkwy, Midlothian, VA 23113-1453
Molly Cage Family Practice2800 Polo Pkwy, Midlothian, VA 23113-1454
Richard Lewis Jr. Plastic and Reconstructive Surgery2331 Robious Station Cir A, Midlothian, VA 23113-2124
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Similar Physicians

Doctors with similar names

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
David K Bass Diagnostic RadiologyGardens Radiology Associates Pa3360 Burns Rd, Riviera Beach, FL 33410-4323
Richard E Bass Chiropractic80 E Oak St, Mcrae-Helena, GA 31055-4337
Amy J Bass Nurse PractitionerCoffee Medical Group LLC481 Interstate Dr, Manchester, TN 37355-3108
Ami P Bass Clinical Social Worker103 Brunswick Ave, Gardiner, ME 04345-2567
Jessica Nicole Bass Nurse PractitionerBaylor College of Medicine7200 Cambridge St, Houston, TX 77030-4202
Valeria Bass Nurse PractitionerAccountable Inpatient Medicine8130 Lakewood Main St, Suite 103, Lakewood Ranch, FL 34202-5068
Marissa Nicole Bass Chiropractic371 N La Cienega Blvd, West Hollywood, CA 90048-1924
Cary S Bass AnesthesiologyIndependent Physicians Network PLLC7201 Evans Dr, The Pavilion Hospital, Amarillo, TX 79106-1707
Adam J Bass Medical OncologyDana Farber Cancer Institute, Inc450 Brookline Ave, Boston, MA 02215-5418
Ann Bass Physical Therapy325 W 8th St Unit, 201 Downtown Physical Therapy, Los Angeles, CA 90014-3169

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Dataset Information

This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider Centers for Medicare & Medicaid Services (CMS)
Source data.cms.gov

Dataset Details

The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:

  • The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
  • Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
  • Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
  • performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.

This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Michaela Nicole Bass · 14302 Winterview Pkwy, Midlothian, VA 23113-4386 · Physician Assistant · Ivyrehab Sept, LLC (2024)
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