| Lorie Gearhart Md Inc | |
|
820 Bay Ave Ste 206 Capitola CA 95010-2102 | |
| (831) 427-3100 | |
| (831) 515-7037 |
| Full Name | Lorie Gearhart Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 820 Bay Ave Ste 206, Capitola, California |
| Authorized Official Name and Position | Lorie Gearhart (MEDICAL DOCTOR) |
| Authorized Official Contact | 8314273100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorie Gearhart Md Inc 820 Bay Ave Ste 206 Capitola CA 95010-2102 Ph: (831) 427-3100 | Lorie Gearhart Md Inc 820 Bay Ave Ste 206 Capitola CA 95010-2102 Ph: (831) 427-3100 |
| NPI Number | 1568869568 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 1557684495 |
|---|---|
| Medicare Enrollment ID | O20141229000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568869568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lorie A Gearhart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619006954 PECOS PAC ID: 3173670106 Enrollment ID: I20090409000152 |
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