Mackenzie Bacovin, APRN | |
606 Wilson Creek Rd, Lawrenceburg, IN 47025-1095 | |
(859) 757-4446 | |
(812) 537-4979 |
Full Name | Mackenzie Bacovin |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 606 Wilson Creek Rd, Lawrenceburg, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073243754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3017918 (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 71013176A (Indiana) | 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: O20040403000151 |
Mailing Address | Practice Location Address |
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Mackenzie Bacovin, APRN Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 757-4446 | Mackenzie Bacovin, APRN 606 Wilson Creek Rd, Lawrenceburg, IN 47025-1095 Ph: (859) 757-4446 |
Krisha Leni Robbins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 W Eads Pkwy Ste 320, Lawrenceburg, IN 47025 Phone: 812-539-2900 | |
Zachary Quinn Asman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1712 Cove Cir W, Lawrenceburg, IN 47025 Phone: 513-545-5230 | |
Ashley Catherine Lemon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 W Eads Pkwy, Lawrenceburg, IN 47025 Phone: 812-539-2911 Fax: 812-537-7006 | |
Ms. Sarah Lynn Brown, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465a Bielby Rd, Lawrenceburg, IN 47025 Phone: 812-577-3137 Fax: 812-577-3202 | |
Tracy Tramel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Wilson Creek Rd, Lawrenceburg, IN 47025 Phone: 812-537-1010 | |
Amber Donnellon, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 587 W Eads Pkwy, Lawrenceburg, IN 47025 Phone: 812-539-2911 |