| Kyle Andrew Haverbusch, APRN, AGACNP-BC | |
| 
					85 N Grand Ave, Fort Thomas, KY 41075-4027  | |
| (859) 344-1600 | |
| (859) 344-0091 | 
| Full Name | Kyle Andrew Haverbusch | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 85 N Grand Ave, Fort Thomas, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598442352 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 0031082 (Ohio) | Secondary | 
| 363L00000X | Nurse Practitioner | 3018923 (Kentucky) | Primary | 
| Entity Name | Summit Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kyle Andrew Haverbusch, APRN, AGACNP-BC Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-1600  | Kyle Andrew Haverbusch, APRN, AGACNP-BC 85 N Grand Ave, Fort Thomas, KY 41075-4027 Ph: (859) 344-1600  | 
Peter Anthony Ferrante, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 N Grand Ave Ste 103, Fort Thomas, KY 41075 Phone: 859-781-4900 Fax: 859-572-3045  | |
Amanda Monroe, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 Sheridan Avenue, Back House, Fort Thomas, KY 41075 Phone: 859-638-2480  | |
Mrs. Brooke E. Carpenter, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674  | |
Linda Negich,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fort Thomas Ave, Fort Thomas, KY 41075 Phone: 513-861-3100  | |
Mrs. Nkechinyere Augusta Nwosu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 N Grand Ave Ste 8, Fort Thomas, KY 41075 Phone: 216-468-5000  | |
Elizabeth Kreuzmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 S Fort Thomas Ave, Fort Thomas, KY 41075 Phone: 859-572-6202  | |
Krista Anne Harmon, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674  |