| Bruce Snider Md Psc | |
|
510 Graves Ave Ste 210 Erlanger KY 41018-3309 | |
| (859) 341-5014 | |
| (859) 341-5136 |
| Full Name | Bruce Snider Md Psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 510 Graves Ave Ste 210, Erlanger, Kentucky |
| Authorized Official Name and Position | Bruce A Snider (BUSINESS OWNER) |
| Authorized Official Contact | 8593415014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Snider Md Psc 510 Graves Ave Ste 210 Erlanger KY 41018-3309 Ph: (859) 341-5014 | Bruce Snider Md Psc 510 Graves Ave Ste 210 Erlanger KY 41018-3309 Ph: (859) 341-5014 |
| NPI Number | 1215009691 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Medicare PECOS PAC ID | 1557348166 |
|---|---|
| Medicare Enrollment ID | O20040701000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215009691 | NPI | - | NPPES |
| 64168354 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 16835 (Kentucky) | Primary |
| Provider Name | Bruce A Snider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548331226 PECOS PAC ID: 9537146147 Enrollment ID: I20060111000474 |
| Provider Name | Angela D Franke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366700825 PECOS PAC ID: 1658535539 Enrollment ID: I20120605000276 |
| Provider Name | Jennifer Yost Vaden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356876940 PECOS PAC ID: 9931471273 Enrollment ID: I20170821002250 |
| Provider Name | Brenda A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780207043 PECOS PAC ID: 9739506114 Enrollment ID: I20200831001746 |
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