| Internal Medicine And Geriatrics Services, Llc | |
|
3572 Fawnrun Dr Cincinnati OH 45241-3832 | |
| (513) 889-9902 | |
| (513) 793-0729 |
| Full Name | Internal Medicine And Geriatrics Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3572 Fawnrun Dr, Cincinnati, Ohio |
| Authorized Official Name and Position | Audrius Ruksenas (OWNER) |
| Authorized Official Contact | 5137226037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine And Geriatrics Services, Llc Po Box 635739 Cincinnati OH 45263-0044 Ph: (513) 889-9902 | Internal Medicine And Geriatrics Services, Llc 3572 Fawnrun Dr Cincinnati OH 45241-3832 Ph: (513) 889-9902 |
| NPI Number | 1396952099 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 01/31/2023 |
| Medicare PECOS PAC ID | 8527167360 |
|---|---|
| Medicare Enrollment ID | O20070620000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396952099 | NPI | - | NPPES |
| 2950374 | Medicaid | OH | |
| DG0522 | Other | OH | RR MEDICARE |
| Provider Name | Jodi B Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396808150 PECOS PAC ID: 4587606223 Enrollment ID: I20050524000306 |
| Provider Name | Audrius Ruksenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447202106 PECOS PAC ID: 5193760122 Enrollment ID: I20050621000733 |
| Provider Name | Patricia M Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275707739 PECOS PAC ID: 5890867683 Enrollment ID: I20080711000050 |
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