| Resurge Recovery, Llc | |
|
5241 Montgomery Road Cincinnati OH 45212 | |
| (513) 993-5241 | |
| Not Available |
| Full Name | Resurge Recovery, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5241 Montgomery Road, Cincinnati, Ohio |
| Authorized Official Name and Position | Nicole Litvak (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2162254464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurge Recovery, Llc 5241 Montgomery Road Cincinnati OH 45212 Ph: (513) 993-5241 | Resurge Recovery, Llc 5241 Montgomery Road Cincinnati OH 45212 Ph: (513) 993-5241 |
| NPI Number | 1548843360 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 4789089152 |
|---|---|
| Medicare Enrollment ID | O20210823002988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548843360 | NPI | - | NPPES |
| 1447704416 | Medicaid | OH | |
| 1992382444 | Medicaid | OH | |
| 1679702294 | Medicaid | OH | |
| 1710197173 | Medicaid | MS |
| Provider Name | Brittany Hooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427629922 PECOS PAC ID: 0143627208 Enrollment ID: I20210916002022 |
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