| Talbert House Primary Care | |
|
2621 Victory Pkwy Cincinnati OH 45206-1754 | |
| (513) 242-7164 | |
| Not Available |
| Full Name | Talbert House Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2621 Victory Pkwy, Cincinnati, Ohio |
| Authorized Official Name and Position | Carla Brooks (CFO) |
| Authorized Official Contact | 5137517747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talbert House Primary Care 2600 Victory Pkwy Cincinnati OH 45206-1711 Ph: (513) 751-7747 | Talbert House Primary Care 2621 Victory Pkwy Cincinnati OH 45206-1754 Ph: (513) 242-7164 |
| NPI Number | 1225492747 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 03/17/2021 |
| Medicare PECOS PAC ID | 4789954397 |
|---|---|
| Medicare Enrollment ID | O20170713003723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225492747 | NPI | - | NPPES |
| 0171823 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lauren L Mente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093149460 PECOS PAC ID: 5698902914 Enrollment ID: I20131212000870 |
| Provider Name | Andrea R Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801210703 PECOS PAC ID: 4284864554 Enrollment ID: I20140306000432 |
| Provider Name | Charity Ann Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669853156 PECOS PAC ID: 7810280443 Enrollment ID: I20160720000652 |
| Provider Name | Thomas E Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881105740 PECOS PAC ID: 0941556120 Enrollment ID: I20180629002056 |
| Provider Name | Lauren Michelle Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790254068 PECOS PAC ID: 6406194067 Enrollment ID: I20190206003419 |
| Provider Name | Sara E Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205467214 PECOS PAC ID: 3375971336 Enrollment ID: I20200325002147 |
| Provider Name | Fay M Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336513605 PECOS PAC ID: 3779963053 Enrollment ID: I20220705000246 |
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