Lorie Gearhart Md Inc | |
820 Bay Ave Ste 206 Capitola CA 95010-2102 | |
(831) 427-3100 | |
(831) 515-7037 |
Full Name | Lorie Gearhart Md Inc |
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Speciality | Psychiatry & Neurology |
Location | 820 Bay Ave Ste 206, Capitola, California |
Authorized Official Name and Position | Lorie Gearhart (MEDICAL DOCTOR) |
Authorized Official Contact | 8314273100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lorie Gearhart Md Inc 820 Bay Ave Ste 206 Capitola CA 95010-2102 Ph: (831) 427-3100 | Lorie Gearhart Md Inc 820 Bay Ave Ste 206 Capitola CA 95010-2102 Ph: (831) 427-3100 |
NPI Number | 1568869568 |
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Provider Enumeration Date | 11/20/2014 |
Last Update Date | 10/18/2021 |
Certification Date | 10/18/2021 |
Medicare PECOS PAC ID | 1557684495 |
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Medicare Enrollment ID | O20141229000454 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568869568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | (* (Not Available)) | Primary |
Provider Name | Lorie A Gearhart |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619006954 PECOS PAC ID: 3173670106 Enrollment ID: I20090409000152 |
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