Behj Group Llc | |
1210 4th St Lewisport KY 42351-2526 | |
(270) 255-4341 | |
Not Available |
Full Name | Behj Group Llc |
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Speciality | Psychiatry & Neurology |
Location | 1210 4th St, Lewisport, Kentucky |
Authorized Official Name and Position | Barry Johnson (OWNER) |
Authorized Official Contact | 5024571640 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Behj Group Llc 1210 4th St Lewisport KY 42351-2526 Ph: () - | Behj Group Llc 1210 4th St Lewisport KY 42351-2526 Ph: (270) 255-4341 |
NPI Number | 1639721202 |
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Provider Enumeration Date | 07/12/2019 |
Last Update Date | 11/05/2020 |
Certification Date | 11/05/2020 |
Medicare PECOS PAC ID | 8921336116 |
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Medicare Enrollment ID | O20191218001527 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639721202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Sandra L Rogers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740888171 PECOS PAC ID: 1153741665 Enrollment ID: I20201022002395 |
Provider Name | Michelle Figueroa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629669700 PECOS PAC ID: 1850706078 Enrollment ID: I20210222002485 |
Provider Name | Jacqueline Browning |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083376339 PECOS PAC ID: 6901297449 Enrollment ID: I20211217000327 |
Provider Name | Julie A Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285418244 PECOS PAC ID: 9537514526 Enrollment ID: I20231011001788 |
Provider Name | Leslie Chapman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023474608 PECOS PAC ID: 2860865573 Enrollment ID: I20231012003291 |
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