| Mediclinic Urgent Care | |
|
7921 Jessies Way Hamilton OH 45011-8077 | |
| (513) 844-1111 | |
| Not Available |
| Full Name | Mediclinic Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 7921 Jessies Way, Hamilton, Ohio |
| Authorized Official Name and Position | Domenic A Bermudez (LEAD ADVANCED PRACTICE PROVIDER) |
| Authorized Official Contact | 5138441111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediclinic Urgent Care 7921 Jessies Way Hamilton OH 45011-8077 Ph: () - | Mediclinic Urgent Care 7921 Jessies Way Hamilton OH 45011-8077 Ph: (513) 844-1111 |
| NPI Number | 1811623713 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 04/12/2023 |
| Medicare PECOS PAC ID | 7719356708 |
|---|---|
| Medicare Enrollment ID | O20221214001245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811623713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Sanju A Varghese |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780629956 PECOS PAC ID: 6709898158 Enrollment ID: I20060629000108 |
| Provider Name | Elizabeth C Matre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366899486 PECOS PAC ID: 6800187956 Enrollment ID: I20160620001925 |
| Provider Name | Dominic Brandy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417019613 PECOS PAC ID: 2769530559 Enrollment ID: I20230309002218 |
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