Raeann L Brodbeck (NPI# 1679941561, PAC ID# 7416252473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679941561 |
| PAC ID by PECOS | 7416252473 |
| Professional Enrollment ID | I20160229002656 |
| Full Name | Raeann L Brodbeck |
| Organization Legal Name | KINGSTON CARE PARTNERS, LLC |
| Address |
4121 King Rd Sylvania OH 43560-4438 |
| Phone Number | 4195178200 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850589102 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360048 | UNIVERSITY OF TOLEDO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4121 King Rd, Sylvania, OH 43560-4438 | 4195178200 | KINGSTON CARE PARTNERS, LLC |
| Organization Legal Name | KINGSTON CARE PARTNERS, LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Kapper | Nurse Practitioner | Kingston Care Partners, LLC | 20 Amberwood Pkwy, Ashland, OH 44805-9765 |
| Laura Rothschild | Nurse Practitioner | Kingston Care Partners, LLC | 333 E Boundary St, Perrysburg, OH 43551-2860 |
| Adam K Pinkerton | Nurse Practitioner | Kingston Care Partners, LLC | 1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 |
| Michelle Fuhr | Nurse Practitioner | Kingston Care Partners, LLC | 345 E Boundary St, Perrysburg, OH 43551-2760 |
| Tiffany Dawn Shadle | Nurse Practitioner | Kingston Care Partners, LLC | 2400 Legacy Ct, Santa Fe, NM 87507-4819 |
| Carolyn E Graham | Nurse Practitioner | Kingston Care Partners, LLC | 2010 Amberwood Pkwy, Ashland, OH 44805 |
| Brandy Young | Nurse Practitioner | Kingston Care Partners, LLC | 7515 Winchester Rd, Kingston Residence of Ft Wayne, Fort Wayne, IN 43560-2257 |
| Terri S Sanchez | Nurse Practitioner | Kingston Care Partners, LLC | 904 2nd St Ne, Hickory, NC 28601-3871 |
| Susanne E Reece | Nurse Practitioner | Kingston Care Partners, LLC | 1120 Dunaway St, Miamisburg, OH 45342-3839 |
| Kelly A Anderson | Nurse Practitioner | Kingston Care Partners, LLC | 1010 W Washington Ctr, Kingston Care Center of Fort Wayna, Fort Wayne, IN 46825-4155 |
| Street Address |
4121 KING RD |
| City | SYLVANIA |
| State | OH |
| Zip | 43560-4438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin M Roth | Nurse Practitioner | Kingston Care Partners, LLC | 4121 King Rd, Sylvania, OH 43560-4438 |
| Diane M Smith | Nurse Practitioner | Kingston Care Partners, LLC | 4121 King Rd, Sylvania, OH 43560-4438 |
| Michelle L Drain | Nurse Practitioner | Kingston Care Partners, LLC | 4121 King Rd, Sylvania, OH 43560-4438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Leatherman | Clinical Social Worker | Seniors Wellness Group, P.C. | 5320 Hazoun Rd, Sylvania, OH 43560 |
| Alicia L Graham | Clinical Social Worker | Seniors Wellness Group, P.C. | 5320 Hazoun Rd, Sylvania, OH 43560 |
| Audrey E Ellenwood | Psychologist, Clinical | 6400 Monroe St, Suite E, Sylvania, OH 43560-1400 | |
| Joan Alfred Lawrence | Psychologist, Clinical | 6400 Monroe St, E, Sylvania, OH 43560-1400 | |
| Sherry A Simon | Psychologist, Clinical | 6400 Monroe St, Suite E, Sylvania, OH 43560-1400 | |
| Jessica A Lockhart | Chiropractic | 6377 Monroe St, Sylvania, OH 43560-1429 | |
| Van B Boggus Jr. | Orthopedic Surgery | Toledo Clinic Incorporated | 6444 Monroe St, Sylvania, OH 43560-1455 |
| Mary D Squire | Psychologist, Clinical | 5758 N Main St, Suite 3, Sylvania, OH 43560-1933 | |
| Jessica Madden | Nurse Practitioner | Promedica Central Physicians LLC | 5320 Harroun Rd, Sylvania, OH 43560-2114 |
| Lindsey Hickey | Nurse Practitioner | Promedica Central Physicians LLC | 5308 Harroun Rd, Suite 150, Sylvania, OH 43560-2114 |
| Find all physicians in zip 43560 | |||
| City | SYLVANIA |
| Zip Code | 43560 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SYLVANIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Raeann L Brodbeck.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.