| Dr Stefanny Santana Rivera, MD | |
|
605 Man O War Boulevard, Union, KY 41091-2007 | |
| (859) 578-5333 | |
| Not Available |
| Full Name | Dr Stefanny Santana Rivera |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 605 Man O War Boulevard, Union, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104446020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.148517 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 61226 (Kentucky) | Primary |
| Entity Name | Dedicated Ohio Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922631019 PECOS PAC ID: 2769718659 Enrollment ID: O20200508000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stefanny Santana Rivera, MD P.o. Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555 | Dr Stefanny Santana Rivera, MD 605 Man O War Boulevard, Union, KY 41091-2007 Ph: (859) 578-5333 |
Melonie C Proctor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 Bristow Drive, Union, KY 41091 Phone: 859-301-7210 Fax: 859-301-7216 | |
Dr. Corey Gallus, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 Bristow Drive, Union, KY 41091 Phone: 859-301-7210 Fax: 859-301-7216 | |
Dr. Brian J Walters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 Bristow Drive, Primary Care-union Bristow Drive, Union, KY 41091 Phone: 859-301-7210 Fax: 859-301-7216 | |
Dr. Craig David Sanders, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 605 Man O War Boulevard, Union, KY 41091 Phone: 859-578-5333 Fax: 859-384-0216 |