Erica Hutcheson Bass, M.D.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Madison, MS
NPI 1366604100 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1366604100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 22857 (MS)
- Practice address
- 160 Fountains Blvd Ste B
Madison, MS 39110-6343 - Phone
- (601) 981-2525
- Fax
- (601) 981-3152
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Sunflower Medical Center
Practice addresses (Care Compare)
101 E Floyce St
Sunflower Diagnostic Center
Ruleville, MS 38771-3915
Phone (662) 756-2100
160 Fountains Blvd
Suite B
Madison, MS 39110-6380
Phone (601) 898-7500
840 N Oak Ave
Ruleville, MS 38771-3227
Phone (601) 756-2711
Hospital & facility affiliations
- Merit Health Women'S Hospital
- North Sunflower Medical Center Cah
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 12 |
| Melanoma (skin cancer) excision | 29 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160815002727 | MS | Practitioner - Plastic and Reconstructive Surgery | 9234423153 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22857 | MS | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Sunflower Medical Center | Current | Accepting new patients | |
| North Sunflower Medical Center | Current |
Accepting new patients | |
| North Sunflower Medical Center | Current |
Accepting new patients | |
| Bespoke Aesthetics and Plastic Surgery | Current |
Accepting new patients | |
| North Sunflower Medical Center | Current |
Accepting new patients | |
| North Sunflower Medical Center | Current |
Accepting new patients | |
| Mississippi Premier Plastic Surgery, PLLC | Plastic and Reconstructive Surgery | Current |
Accepting new patients |
Locations
971 Lakeland Dr
Ste 315
Jackson, MS 39216
Phone (601) 898-4400
160 Fountains Blvd
Ste B
Madison, MS 39110
Phone (601) 898-7500
161 Montgomery St
Ste C
Madison, MS 39110
Phone (601) 987-6581
308 Corporate Dr
Ridgeland, MS 39157
Phone (601) 898-7500
101 E Floyce St
Ruleville, MS 38771
Phone (662) 756-2100
840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711
Interoperability endpoints
- ericabassie@nsfmc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 22857 | MS | Yes |
Addresses
Primary practice location
160 Fountains Blvd Ste B
Madison, MS 39110-6343
Mailing address
160 Fountains Blvd Ste B
Madison, MS 39110-6343
Phone (601) 981-2525
Other practice location 1
971 Lakeland Dr
Suite 315
Jackson, MS 39216-4643
Phone (601) 981-2525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0520851 | Medicaid | MS |
Other providers in Madison, MS
- Scheleria Banks
- Baptist Memorial Rehabilitation Hospital - Madison LLC
- Baptist PT - Madison
- Jasmine Barnes
- Vernita A Barton
- Haleigh Hanna Bates
- Nathan Keil Beavers
- Belhaven Senior Care
- Blake Stewart Bell
- Jericho Loree Bell
All providers in Madison, MS · Plastic and Reconstructive Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.