| Edwin Paul Staat, APRN | |
| 
					513 Madison Ave, Covington, KY 41011-1562  | |
| (859) 331-3292 | |
| (859) 578-2864 | 
| Full Name | Edwin Paul Staat | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 513 Madison Ave, 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 | 
|---|---|---|---|
| 1275558934 | NPI | - | NPPES | 
| 610661458 | Other | KY | TAX ID | 
| 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  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edwin Paul Staat, APRN 502 Farrell Dr, Covington, KY 41011-3717 Ph: (859) 578-3204  | Edwin Paul Staat, APRN 513 Madison Ave, Covington, KY 41011-1562 Ph: (859) 331-3292  | 
Jessica Ginn, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 Fax: 859-655-6179  | |
Kyla Renee Riddell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 Fax: 859-655-6179  | |
Miss Brenda Mastin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9188 Pampas Ct, Covington, KY 41015 Phone: 859-415-3099  | |
Samantha Ann Stewart,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Pike St, Covington, KY 41011 Phone: 901-482-9567  | |
Jennifer Ann Cline, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 343 Pike St, Covington, KY 41011 Phone: 859-291-9321  | |
Shelby Maureen Klingensmith, APRN-CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-301-5901 Fax: 859-301-5940  | |
Deborah Sonnanstine, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 E 20th St, Covington, KY 41014 Phone: 859-655-7171 Fax: 859-655-6742  |