Look up the most recent NPI and PECOS records

Michael Basedow

Family Medicine

Allopathic & Osteopathic Physicians

1000 Ashland Dr Ste 303, Ashland, KY 41101-7097

PECOS Enrollment

Based on the most recent information from CMS, provider Michael Basedow is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1114467867
Provider Type
Individual
Full Name
Basedow, Michael
Gender
Male

Sole Proprietor
Yes
Enumeration Date
2/28/2017
Last Updated
12/16/2021

Contact Information

Practice Location

1000 Ashland Dr Ste 303, Ashland, KY 41101-7097

(606) 467-2360

(606) 467-2359

Mailing Location

1000 Ashland Dr Ste 303, Ashland, KY 41101-7097

(606) 467-2360

(606) 467-2359

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 34.014444 Ohio

Michael Basedow

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mccreary, Chad Andrew

Smith, Audrey Renee

Ashland Family Medicine

Ashland Hospital Corporation

Elkins-Smith, Melinda L

Bellefonte Physician Services, Inc.

Bagley, Michele L

Gilberts, Allison Brooke

Bellefonte Physician Services, Inc.

Kazee, Jackie R