Kyle Andrew Haverbusch, APRN, AGACNP-BC | |
85 N Grand Ave, Fort Thomas, KY 41075-4027 | |
(859) 344-1600 | |
(859) 344-0091 |
Full Name | Kyle Andrew Haverbusch |
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Gender | Male |
Speciality | Nurse Practitioner |
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 |
---|---|---|---|
1598442352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 0031082 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | 3018923 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
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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 |
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Kyle Andrew Haverbusch, APRN, AGACNP-BC Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-1600 | Kyle Andrew Haverbusch, APRN, AGACNP-BC 85 N Grand Ave, Fort Thomas, KY 41075-4027 Ph: (859) 344-1600 |
Peter Anthony Ferrante, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 N Grand Ave Ste 103, Fort Thomas, KY 41075 Phone: 859-781-4900 Fax: 859-572-3045 | |
Mrs. Brooke E. Carpenter, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 | |
Linda Negich, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fort Thomas Ave, Fort Thomas, KY 41075 Phone: 513-861-3100 | |
Mrs. Nkechinyere Augusta Nwosu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 N Grand Ave Ste 8, Fort Thomas, KY 41075 Phone: 216-468-5000 | |
Anthony Raley, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3617 Fax: 859-572-2323 | |
Elizabeth Kreuzmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 S Fort Thomas Ave, Fort Thomas, KY 41075 Phone: 859-572-6202 | |
Krista Anne Harmon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 |