Virtual Consult Md, Llc | |
2202 Hwy 41 North Unit E 152 Hendereson KY 42420 | |
(812) 848-2322 | |
(812) 727-5469 |
Full Name | Virtual Consult Md, Llc |
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Speciality | Psychiatry & Neurology |
Location | 2202 Hwy 41 North, Hendereson, Kentucky |
Authorized Official Name and Position | Neil Jariwala (OWNER) |
Authorized Official Contact | 6782000048 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Virtual Consult Md, Llc 1222 Professional Blvd Evansville IN 47714-8002 Ph: (812) 720-3800 | Virtual Consult Md, Llc 2202 Hwy 41 North Unit E 152 Hendereson KY 42420 Ph: (812) 848-2322 |
NPI Number | 1174136337 |
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Provider Enumeration Date | 08/27/2020 |
Last Update Date | 12/20/2023 |
Certification Date | 12/20/2023 |
Medicare PECOS PAC ID | 8527486067 |
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Medicare Enrollment ID | O20200915001373 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174136337 | NPI | - | NPPES |
53374 | Other | KY | MEDICAL LICENSE |
Provider Name | Neil Bhupendra Jariwala |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1710206545 PECOS PAC ID: 0941425607 Enrollment ID: I20200915001430 |
Provider Name | Glenda D Kebortz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538534011 PECOS PAC ID: 8022311877 Enrollment ID: I20240127000195 |
Provider Name | Michelle Craig |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023517992 PECOS PAC ID: 1850648460 Enrollment ID: I20240305003180 |
Provider Name | Sharon Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669973822 PECOS PAC ID: 7517222110 Enrollment ID: I20240322000231 |