Physician Compare National (NPI:1922145341)

HEALTHCARE PROVIDER: CAROL BASS MS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922145341
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709949944
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090114000044
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BASS
	Individual professional last name
Provider First Name	CAROL
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	200 PLEASANT GROVE RD
	Group Practice or individual's line 1 address
City	ITHACA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	148502664
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y