| Mrs Tracy M Martin, APRN | |
| 
					1610 Madison Ave, Covington, KY 41011  | |
| (866) 934-7450 | |
| Not Available | 
| Full Name | Mrs Tracy M Martin | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1610 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 | 
|---|---|---|---|
| 1528453404 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.17194 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 3009308 (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  | 
| Entity Name | Spero Health Of Kentucky, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982102109 PECOS PAC ID: 1052792041 Enrollment ID: O20220721003823  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Tracy M Martin, APRN 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: () -  | Mrs Tracy M Martin, APRN 1610 Madison Ave, Covington, KY 41011 Ph: (866) 934-7450  | 
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  |