| Behj Group Llc | |
|
1210 4th St Lewisport KY 42351-2526 | |
| (270) 255-4341 | |
| Not Available |
| Full Name | Behj Group Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 11/05/2020 |
| Certification Date | 11/05/2020 |
| Medicare PECOS PAC ID | 8921336116 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740888171 PECOS PAC ID: 1153741665 Enrollment ID: I20201022002395 |
| Provider Name | Michelle Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629669700 PECOS PAC ID: 1850706078 Enrollment ID: I20210222002485 |
| Provider Name | Julie A Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285418244 PECOS PAC ID: 9537514526 Enrollment ID: I20231011001788 |
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