| Adam Nicholas Peddicord, APRN | |
|
4135 Dixie Hwy, Elsmere, KY 41018-1815 | |
| (513) 834-7063 | |
| Not Available |
| Full Name | Adam Nicholas Peddicord |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 4135 Dixie Hwy, Elsmere, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629433024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3009900 (Kentucky) | Primary |
| Entity Name | Brightview Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659769446 PECOS PAC ID: 9032426044 Enrollment ID: O20210202002412 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Nicholas Peddicord, APRN 615 Elsinore Pl Ste 200, Cincinnati, OH 45202-1457 Ph: (513) 834-7063 | Adam Nicholas Peddicord, APRN 4135 Dixie Hwy, Elsmere, KY 41018-1815 Ph: (513) 834-7063 |
Sondra Blythe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4135 Dixie Hwy, Elsmere, KY 41018 Phone: 513-834-7063 | |
Jessica Claire Mitchell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 Raintree Ct, Elsmere, KY 41018 Phone: 859-308-7439 | |
Christina Ann Borchers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4135 Dixie Hwy, Elsmere, KY 41018 Phone: 855-833-4357 |