| Debra L Breneman, M D | |
|
3130 Highland Ave, Cincinnati, OH 45219-2399 | |
| (513) 584-3686 | |
| (513) 475-7636 |
| Full Name | Debra L Breneman |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 3130 Highland Ave, Cincinnati, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124065438 | NPI | - | NPPES |
| 0613732 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 35.052109 (Ohio) | Primary |
| Entity Name | University Of Cincinnati Physicians Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra L Breneman, M D Po Box 636256, Central Credentialing, Cincinnati, OH 45263-6256 Ph: (513) 585-5502 | Debra L Breneman, M D 3130 Highland Ave, Cincinnati, OH 45219-2399 Ph: (513) 584-3686 |
Bria Deshea Barjuca, APRN-CNP Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245 Phone: 513-770-4212 | |
Lauren Grau, APRN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 331 W 4th St, Cincinnati, OH 45202 Phone: 614-500-7000 | |
Kalyani Shriram Marathe, MD, MPH Dermatology Medicare: Medicare Enrolled Practice Location: 3333 Burnet Ave, Ml 3004, Cincinnati, OH 45229 Phone: 513-636-4215 Fax: 513-636-5867 | |
Katherine Leslie Baquerizo Nole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3130 Highland Ave, U Cincinnati Medical Center. Department Of Dermatology, Cincinnati, OH 45219 Phone: 513-584-4644 Fax: 513-584-1559 | |
Dr. Richard S Moraites, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7717 Montgomery Road, Cincinnati, OH 45236 Phone: 513-793-4021 Fax: 513-793-4078 | |
Dr. David Broomall, MD Dermatology Medicare: Medicare Enrolled Practice Location: 8240 Northcreek Dr, Cincinnati, OH 45236 Phone: 513-246-7000 Fax: 513-246-5284 |