| Mrs Amanda Lauren Kennedy, AGACNP-BC | |
|
11690 Grooms Rd, Blue Ash, OH 45242-1412 | |
| (513) 917-9697 | |
| Not Available |
| Full Name | Mrs Amanda Lauren Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 11690 Grooms Rd, Blue Ash, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063937696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.021254 (Ohio) | Primary |
| 163W00000X | Registered Nurse | RN.391672 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Queen City Skilled Care Llc | Cincinnati, OH | Home health agency |
| Gem City Home Care, Llc | Dayton, OH | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hansa Medical Groupe Llc | 5092881417 | 37 |
| Hansa Medical Groupe Llc | 5092881417 | 37 |
| Entity Name | Psychiatric Management Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942677281 PECOS PAC ID: 7618285057 Enrollment ID: O20161010000547 |
| Entity Name | Community Care Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20181221001967 |
| Entity Name | Careconnectmd Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255971537 PECOS PAC ID: 2567885577 Enrollment ID: O20200709002068 |
| Entity Name | S3 Medical Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891360079 PECOS PAC ID: 9931509619 Enrollment ID: O20210805001734 |
| Entity Name | Hansa Medical Groupe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386804615 PECOS PAC ID: 5092881417 Enrollment ID: O20220829001953 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Lauren Kennedy, AGACNP-BC 4615 Northridge Dr, Batavia, OH 45103-1385 Ph: (513) 917-9697 | Mrs Amanda Lauren Kennedy, AGACNP-BC 11690 Grooms Rd, Blue Ash, OH 45242-1412 Ph: (513) 917-9697 |
Karen Lane, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4243 Hunt Rd, Blue Ash, OH 45242 Phone: 513-535-5567 | |
Mrs. Samantha Braun, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4350 Malsbary Rd, Blue Ash, OH 45242 Phone: 513-751-2273 Fax: 513-751-1848 | |
Mrs. Susan A Boehnlein, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9825 Kenwood Rd, Blue Ash, OH 45242 Phone: 513-872-4500 | |
Ramie Jacqueline Allison, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242 Phone: 833-358-2036 | |
Jennifer Macrae, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10653 Techwoods Cir Ste 101, Blue Ash, OH 45242 Phone: 513-956-3200 | |
Annie Longenecker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242 Phone: 833-358-2036 |