| Evokes, Llc | |
|
8118 Corporate Way Ste. 212 Mason OH 45040-7350 | |
| (513) 947-8433 | |
| (484) 351-8810 |
| Full Name | Evokes, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8118 Corporate Way, Mason, Ohio |
| Authorized Official Name and Position | Stephen Houff (PRESIDENT) |
| Authorized Official Contact | 4843518459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evokes, Llc Po Box 733191 Dallas TX 75373-3191 Ph: (484) 351-8459 | Evokes, Llc 8118 Corporate Way Ste. 212 Mason OH 45040-7350 Ph: (513) 947-8433 |
| NPI Number | 1508231267 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Medicare PECOS PAC ID | 4880983832 |
|---|---|
| Medicare Enrollment ID | O20160516001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508231267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
| Provider Name | Phillip White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740255975 PECOS PAC ID: 7911034152 Enrollment ID: I20100420001069 |
| Provider Name | Barbara Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346233384 PECOS PAC ID: 0941308340 Enrollment ID: I20121213000269 |
| Provider Name | Jessie K Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902198583 PECOS PAC ID: 1254560642 Enrollment ID: I20151111002024 |
| Provider Name | Reversa R Joseph |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770726390 PECOS PAC ID: 8729366364 Enrollment ID: I20161101002616 |
| Provider Name | Anurag Tewari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093150674 PECOS PAC ID: 3779832050 Enrollment ID: I20180820002492 |
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