| Mrs Briana L Vitucci, RD | |
|
1500 James Simpson Jr Way, Covington, KY 41011-0801 | |
| (859) 655-8910 | |
| Not Available |
| Full Name | Mrs Briana L Vitucci |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1500 James Simpson Jr Way, Covington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053088542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86076991 (Ohio) | Secondary |
| 133V00000X | Dietitian, Registered | 282616 (Kentucky) | Primary |
| Provider Name | Summit Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Briana L Vitucci, RD 10475 Reading Rd Ste 115, Cincinnati, OH 45241-2500 Ph: (513) 559-1222 | Mrs Briana L Vitucci, RD 1500 James Simpson Jr Way, Covington, KY 41011-0801 Ph: (859) 655-8910 |
Kennetra Bradshaw, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911 | |
Rae Elizagaray, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911 | |
Grace Anne Lubbe, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911 | |
Brenda Sis, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911 | |
Jessica Flesch, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 103 E 3rd St Apt 606, Covington, KY 41011 Phone: 859-663-5050 | |
Brianna Powell, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911 |