Tina Marie Gutekunst, is a medicare enrolled "Nurse Practitioner" in Ft. Mitchell, Kentucky. She went to University Of Cincinnati College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group, Inc and her current practice location is
2300 Chamber Center Drive, Ft. Mitchell, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 341-3114.
Tina Marie Gutekunst is licensed to practice in Kentucky (license number 3010634) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295184679.
Provider's Profile
| Full Name | Tina Marie Gutekunst |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 2300 Chamber Center Drive, Ft. Mitchell, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tina Marie Gutekunst attended and graduated from University Of Cincinnati College Of Medicine in 2015
NPI Data:
- NPI Number: 1295184679
- Provider Enumeration Date: 06/07/2016
- Last Update Date: 01/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608161146
- Enrollment ID: I20161021002126
Medical Identifiers
Medical identifiers for Tina Marie Gutekunst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295184679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 71009290A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | COA.18966-NP (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 3010634 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summit Medical Group, Inc | 2163326240 | 712 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tina Marie Gutekunst allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina Marie Gutekunst is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Tina Marie Gutekunst,
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (859) 341-3114 | Tina Marie Gutekunst,
2300 Chamber Center Drive,
Ft. Mitchell, KY 41017
Ph: (859) 341-3114 |
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