Heidi C Murley, MD | |
85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075 | |
(859) 781-2628 | |
(859) 572-4403 |
Full Name | Heidi C Murley |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 85 N Grand Ave, Fort Thomas, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215993795 | NPI | - | NPPES |
64319015 | Medicaid | KY | |
2549264 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35069721M (Ohio) | Secondary |
208600000X | Surgery | 31901 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Heidi C Murley, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 578-5880 | Heidi C Murley, MD 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075 Ph: (859) 781-2628 |
Susan M Yelich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075 Phone: 859-781-2628 Fax: 859-572-4403 | |
Audrey Ertel, Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-781-2628 Fax: 859-572-4403 | |
Jeffrey W Russell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075 Phone: 859-781-2628 Fax: 859-572-4403 |