| Owensboro Psychiatric Group Pllc | |
|
5000 Back Square Dr Ste C200 Owensboro KY 42301-7411 | |
| (270) 240-9200 | |
| (812) 492-6349 |
| Full Name | Owensboro Psychiatric Group Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5000 Back Square Dr Ste C200, Owensboro, Kentucky |
| Authorized Official Name and Position | Rhine N Hejran (MEMBER) |
| Authorized Official Contact | 8184515869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Owensboro Psychiatric Group Pllc Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | Owensboro Psychiatric Group Pllc 5000 Back Square Dr Ste C200 Owensboro KY 42301-7411 Ph: (270) 240-9200 |
| NPI Number | 1891537510 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 01/16/2025 |
| Certification Date | 01/16/2025 |
| Medicare PECOS PAC ID | 6204375736 |
|---|---|
| Medicare Enrollment ID | O20240828004567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891537510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rhine N Hejran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740447754 PECOS PAC ID: 8820348758 Enrollment ID: I20180913001849 |
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