| Virtual Consult Md Llc | |
|
5444 E Indiana St Suite 109 Evansville IN 47715-2857 | |
| (812) 848-2322 | |
| Not Available |
| Full Name | Virtual Consult Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5444 E Indiana St, Evansville, Indiana |
| Authorized Official Name and Position | Gaurav Kaushal (CEO) |
| Authorized Official Contact | 7169977382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Consult Md Llc 5444 E Indiana St Suite 109 Evansville IN 47715-2857 Ph: () - | Virtual Consult Md Llc 5444 E Indiana St Suite 109 Evansville IN 47715-2857 Ph: (812) 848-2322 |
| NPI Number | 1871966523 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Medicare PECOS PAC ID | 2264737964 |
|---|---|
| Medicare Enrollment ID | O20160217001737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871966523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Daniel E Sherar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114140118 PECOS PAC ID: 0446474415 Enrollment ID: I20140612001649 |
| Provider Name | Neil Bhupendra Jariwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710206545 PECOS PAC ID: 0941425607 Enrollment ID: I20140714000884 |
| Provider Name | Glenda D Kebortz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538534011 PECOS PAC ID: 8022311877 Enrollment ID: I20160128000543 |
| Provider Name | Joshua Eagleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184073249 PECOS PAC ID: 2466744628 Enrollment ID: I20160707002468 |
| Provider Name | Pamela L Massie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154741593 PECOS PAC ID: 6901186600 Enrollment ID: I20161215002332 |
| Provider Name | Serena A Feller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952702979 PECOS PAC ID: 9537420443 Enrollment ID: I20180308002651 |
| Provider Name | Sharon Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669973822 PECOS PAC ID: 7517222110 Enrollment ID: I20180601000916 |
| Provider Name | Michelle Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023517992 PECOS PAC ID: 1850648460 Enrollment ID: I20180726003247 |
| Provider Name | Stoni Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174073381 PECOS PAC ID: 4587908454 Enrollment ID: I20181204000491 |
| Provider Name | Sheri Lcsw Bell-o'gara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821064148 PECOS PAC ID: 4789928664 Enrollment ID: I20181204000796 |
| Provider Name | Jennifer L Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538625322 PECOS PAC ID: 7012257736 Enrollment ID: I20190315001975 |
| Provider Name | Joye Dawn Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689848418 PECOS PAC ID: 7517066608 Enrollment ID: I20211014000389 |
| Provider Name | Kathleen E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942668314 PECOS PAC ID: 1355646084 Enrollment ID: I20230928004065 |
| Provider Name | Don Lashoni Cowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770742371 PECOS PAC ID: 8426429671 Enrollment ID: I20240322001542 |
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