Angela Miracle, APRN | |
20 West 18th Street, Covington, KY 41011-3329 | |
(859) 757-0717 | |
(859) 331-2425 |
Full Name | Angela Miracle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 20 West 18th Street, Covington, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669984852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3011802 (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 3011802 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Edgewood | Edgewood, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
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 |
---|---|
Angela Miracle, APRN Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 757-0717 | Angela Miracle, APRN 20 West 18th Street, Covington, KY 41011-3329 Ph: (859) 757-0717 |
Melinda Fay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 | |
Rita Ndongkou Biedenharn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 Madison Ave, Covington, KY 41011 Phone: 859-578-3200 | |
Kyla Renee Riddell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 Fax: 859-655-6179 | |
Miss Brenda Mastin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9188 Pampas Ct, Covington, KY 41015 Phone: 859-415-3099 | |
Samantha Ann Stewart, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Pike St, Covington, KY 41011 Phone: 901-482-9567 | |
Jennifer Ann Cline, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 343 Pike St, Covington, KY 41011 Phone: 859-291-9321 | |
Shelby Maureen Klingensmith, APRN-CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-301-5901 Fax: 859-301-5940 |