Mackenzie Bacovin, APRN | |
651 Centre View Blvd, Crestview Hills, KY 41017-5423 | |
(859) 757-4446 | |
(859) 344-1999 |
Full Name | Mackenzie Bacovin |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 651 Centre View Blvd, Crestview Hills, Kentucky |
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 | 71013176A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 3017918 (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: O20040403000151 |
Mailing Address | Practice Location Address |
---|---|
Mackenzie Bacovin, APRN Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 757-4446 | Mackenzie Bacovin, APRN 651 Centre View Blvd, Crestview Hills, KY 41017-5423 Ph: (859) 757-4446 |
Amy Kate Riegler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 380 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-341-3015 Fax: 859-341-3215 | |
Catherine Steinkamp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 651 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-344-1900 Fax: 859-344-4632 | |
Deborah Ruhlman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017 Phone: 859-426-0800 Fax: 859-426-4140 | |
Brent A Plummer, APRN, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 334 Thomas More Parkway, Crestview Hills, KY 41017 Phone: 859-301-5901 Fax: 859-301-5940 | |
Mrs. Katie Franconia Smith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2865 Chancellor Dr., Crestview Hills, KY 41017 Phone: 859-341-5400 | |
Mrs. Cathy Sue Kreimer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 351 Centre View Blvd, Crestview Hills, KY 41017 Phone: 859-957-0052 Fax: 859-957-0054 |