| December N Pennekamp, FNP-BC | |
|
5403 N Bend Rd, Cincinnati, OH 45247-7620 | |
| (513) 853-9700 | |
| (513) 852-8969 |
| Full Name | December N Pennekamp |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5403 N Bend Rd, 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 |
|---|---|---|---|
| 1417729583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0035176 (Ohio) | Primary |
| Entity Name | The Little Clinic Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336 |
| Entity Name | Cg Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982903951 PECOS PAC ID: 6608052196 Enrollment ID: O20110518000216 |
| Entity Name | Trihealth U Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528605177 PECOS PAC ID: 5799110953 Enrollment ID: O20200115002702 |
| Mailing Address | Practice Location Address |
|---|---|
| December N Pennekamp, FNP-BC 5403 N Bend Rd, Cincinnati, OH 45247-7620 Ph: (513) 853-9700 | December N Pennekamp, FNP-BC 5403 N Bend Rd, Cincinnati, OH 45247-7620 Ph: (513) 853-9700 |
Mr. Raymond John Barrows, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 796 Cincinnati-batavia Pike, Cincinnati, OH 45245 Phone: 513-752-9610 Fax: 513-732-8734 | |
Mrs. Lauren Faye Smith, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-792-7445 Fax: 513-791-4042 | |
Sonia L Hissett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3131 Queen City Ave, Cincinnati, OH 45238 Phone: 513-557-3333 Fax: 513-557-3332 | |
Elizabeth Ann Moore, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229 Phone: 513-636-4432 Fax: 513-636-3952 | |
Erynne Hamilton, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-862-2514 Fax: 513-862-4189 | |
Kathryn Elizabeth Dinh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 Red Bank Expy Ste 210, Cincinnati, OH 45227 Phone: 513-272-0313 Fax: 513-272-0316 | |
Constance Marie Martin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2018, Cincinnati, OH 45229 Phone: 513-636-4355 Fax: 513-636-8133 |