Welcome to the SEAK National Directory of Medical File Review Consultants. The following list of Physician (MD or DO)s who are licensed in South Carolina are available to provide a Medical file review, Utilization review, Chart review, Peer review, Second opinion (2nd opinion), Underwriting report, Disability opinion, Pre-authorization, etc.
Fred A Michael, M.D.
Fred Michael, M.D.
Mount Pleasant, South Carolina
Family Medicine/Family Practice
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Practicing adult Hospitalist with over 10 years full-time experience. Previously served as Director of Inpatient Education while assistant professor, MUSC Family Medicine residency. Extensive experience with Chart/File review as Department Chair, member of hospital committees, legal consultant, and SC board of medical examiners.
Mark A Rowley, M.D.
Pawleys Island, South Carolina
Orthopaedic Surgery
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Mark A. Rowley, M.D. Board-Certified Orthopaedic Surgeon. Full-time clinical practice. Residency and fellowship training at Wake Forest University and the Johns Hopkins School of Medicine. Licensed in Virginia, North Carolina, South Carolina and Florida. Member of the American Academy of Orthopaedic Surgeons and the American College of Environmental and Occupational Medicine. Specialty focus orthopaedic conditions, personal injury, causation, work capacity, standard of care, and orthopaedic implant liability,
Valerie A Jones, MD
White Stone, Virginia
Physical Medicine and Rehabilitation
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Medical Necessity Determination for inpatient rehab facilities (IRF) and durable medical equipment (DME). Disability assessment, with return to work restrictions and limitations. Long term and short term disability expertise. Provided analysis for Lincoln Financial Group. Excellent writing skills, from top tier medical school.
Carter L. Starr, MD
Starr Vitality and Wellness, PLLC
Charlotte, North Carolina
Emergency Medicine, Sports Medicine
Leland Berkwits, MD, MS
Cordova, Tennessee
Pain, Physical Medicine and Rehabilitation
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With 30 years in active clinical practice, I am an ACGME fellowship trained Pain Medicine specialist holding subspecialty Pain Medicine (ABPM&R) and Physical Medicine & Rehabilitation board certifications. I have extensive experience in medical chart review, utilization review, peer review, and billing review covering work comp and motor vehicle cases.
I have served as Co-Editor and authored multiple chapters in Atlas of Image Guided Spinal Procedures. Currently in its 2nd edition, this text is used in many interventional pain fellowship training programs.
Tammy Allen, MD
Atlanta, Georgia
Family Medicine/Family Practice
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I have a special interest in disability file reviews. I am a family medicine and hospitalist physician who exclusively works locum tenens assignments because I enjoy the flexibility and variety that contract work offers. In addition to my clinical duties, I am a passionate educator. I have held faculty positions at Mercer University School of Medicine and South College, and I have taught medical students and residents for many years. I also volunteer at several free clinics in the US and abroad, where I provide care to underserved populations.
ANKUSH K BANSAL, MD FACP FACPM SFHM
Loxahatchee, Florida
Internal Medicine
Felix Rivera, MD
US Neurology Consulting, PLLC
Harlingen, Texas
Neurology
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Has experience with Outpatient General Neurology, Inpatient Neuro-Hospitalist and Outpatient Tele Neurology, as well as currently provides Telemedicine care in Neurology, Inpatient Telemedicine/ Tele Neuro-Hospitalist for hospitals in several states throughout the United States.
Dr. Rivera has experience in areas, including but not limited to : Stroke, Epilepsy, Headache, migraine, Traumatic Brain Injury,mild traumatic brain injury, closed head injury, concussion, Spinal Cord Injury, Nerve Injury, Complex Regional Pain Syndrome, CRPS, Memory Loss, Dementia, Encephalopathy, Parkinsons Disease.
Edna McKinstry, MD
HealthAdvise
Cary, North Carolina
Internal Medicine
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Dr. Edna S. Wong McKinstry is an internist in Asheville, North Carolina and is affiliated with multiple hospitals in the area, including Mission Hospital-Asheville and Moberly Regional Medical Center. She received her medical degree from Ross University School of Medicine and has been in practice between 11-20 years. Dr. Edna S. Wong McKinstry has expertise in treating chronic diabetes, heart failure, and obesity.
Training
Medical School
Ross University School of Medicine Class of 2007
Residency
University of Arizona College of Medicine-Tucson
Internal Medicine 2008-2012
Timothy J. McDermott, MD, MBA
Osage Beach Cardiology Ltd.
Linn creek, Missouri
Cardiovascular Disease, Internal Medicine, Interventional Cardiology, Nuclear Medicine
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25+ years experience Internal Medicine, Cardiology, Interventional Cardiology with extensive peripheral vascular disease management including wound care and hyperbaric medicine. 25+ years experience device implantation pacemakers and implantable defibrillators. 5+ years experience as an Emergency Department Physician.
Mark Snoddy, MD
Augusta-Aiken Orthopedic Specialists
Augusta, Georgia
Hand Surgery, Orthopaedic Surgery
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Board certified in Orthopaedic Surgery with subspecialty certificate and fellowship training in Hand, Shoulder, and Elbow surgery.
Extensive experience with Worker's Compensation, including IMEs, impairment ratings, file reviews.
John P. Evans, MD
Foothills Orthopaedics ans Sports Medicine
Greenville, South Carolina
Orthopaedic Surgery
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Fellow of the International Academy of Independent Medical Evaluators, skilled in use of the AMA Guides to Impairment and Disease and Injury Causation as well as Impairment. I can review questions of disability, utilization and causality.
Julie M Quattlebaum, MD
Evans, Georgia
Pediatrics
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General Pediatrics Board certified;
Pediatric Emergency Medicine full time clinical practice for 18 years;
Advanced Trauma Life Support certified;
Pediatric Advanced Life Support certified;
Currently Assistant Professor of Pediatrics;
Formerly Clinical Associate Professor of Pediatrics;
Currently Medical Director of an EMS transport company;
Formerly Medical Director of a medical spa company
Yelena Vidgop, MD
Integrative Neurology Inc
Weston, Florida
Neurology, Neurophysiology
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Inpatient/outpatient, Stroke, Headaches, Migraines, Neuropathy, CIDP, MS Myasthenia, Encephalopathy, Tremors, Parkinson's, Back/Neck injuries, Radiculopathy, Epilepsy, Dementia, Concussions
Board Certified in Neurology and Fellowship trained in Neurophysiology. Currently practicing with Telespecialists, licensed in 36 states, privileges in 204 hospitals. Serves as a Stroke Medical Director and Regional Medical Director for multiple hospital systems. Associate Professor at Nova Southeastern Medical School. Experience in teaching and presenting. Experience with disability file review claims.
Mandana Morales, MD
HealthAdvise
Fort Mill, South Carolina
Pediatrics
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Mandana Farhadieh Morales, M.D.is a board certified pediatrician with over 22 years of clinical experience. She was a partner for over 19 years in Illinois in a private pediatric practice. As a partner, she was involved in the daily workings of a practice from staffing, payroll, and making business decisions for the practice.
In 2020, Dr. Morales expanded her clinical expertise and started and continue working for two prominent telemedicine companies. Her in person practice now involves performing house calls for pediatric patients.
Anika S Goodwin, MD
Greensboro, North Carolina
Ophthalmology
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Fellowship trained in ocular trauma and oculofacial plastic surgery. Prior faculty member and residency program director at The University of South Carolina SOM. Excellent communication and writing skills. Poised and confident.
Cynthia S Tainsh, MD
Medford, Massachusetts
Neurology, Neurophysiology
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I did my Neurology residency at the Harvard Longwood Neurology Training Program, and the did a Fellowship in Electrodiagnostic Medicine at Massachusetts General Hospital. After practicing general neurology for some years, I now specialize in Intraoperative Neuromonitoring. I am familiar with spinal and cranial, as well as carotid artery, surgeries and the associated neurological injuries.
Alyssa M Degnan, DO
PVD Internal Medicine
Aiken, South Carolina
Internal Medicine
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Board certified physician, with greater than 22 years of clinical experience in both the inpatient and out patient settings. Special recognition in diabetic care and management . Experience as faculty at various medical and nurse practitioner schools in the Southeast as clinical supervisor. Previous experience having served on hospital ethics and credentialing committees, as well as greater than 15 years in hospice care.
Joseph P Tobin, M.D., F.A.A.O.S.
Tobin Bone and Joint Surgery
Hilton Head, South Carolina
Orthopaedic Surgery
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Currently practicing general orthopaedic surgery. Offices in
Pooler, G.A. and Hilton Head, S.C. Board Certified and Fellowship in total joint replacements (Hips and Knees) Experience in chart review for attorneys and insurance cos in personal injury and workers' comp. cases, some malpractice defense. Years of experience in IME and MMI ratings for workers' comp., federal disability, and personal injury cases for attorneys, insurance cos and the government. Experience in use of AMA guidelines for MMI ratings. Quick turnaround time. Experience in video depositions and courtroom testimony.
Terence J McGovern, MD
Assonet, Massachusetts
Critical Care Medicine, Internal Medicine, Pulmonary Disease
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Internal medicine residency at Beth-Israel/ Deaconess/ Lahey Medical Center
Fellowship trained in Pulmonary and Critical Care Medicine at Brown University - Rhode Island Hospital
15 years service as site and regional medical director at Southcoast with extensive administrative experience including leadership, peer review, and program building.
Jennifer Miljour, M.D., M.A.
Aberdeen, North Carolina
Cytopathology, Pathology, Anatomic, Pathology, Clinical
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I am board certified in Anatomic and Clinical Pathology as well as in Cytopathology. I completed a fellowship in Gastrointestinal and Liver Pathology at Washington University in St. Louis. My most recent clinical practice predominantly focused on the interpretation of endoscopic gastrointestinal biopsies. I have active medical licenses in North Carolina, South Carolina, and California. I have a flexible work schedule.
Scott Cygan, DO, MPH
Landrum, South Carolina
Aerospace Medicine, Occupational Medicine
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I'm a board certified physician in Occupational Medicine and Aerospace Medicine with over 13 years of clinical experience. I have experience in worker's compensation, disability ratings, impairment ratings, longterm disability evaluations, Veterans healthcare, and independent medical examinations. My additional certifications include DOT Certified Medical Examiner, Medical Review Officer, and Certified Independent Medical Examiner. I've performed over 500 medical review cases.
Abhi Kapuria, MD
Neurology Legal Consulting
Raleigh, North Carolina
Neurology, Neurophysiology
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I am a double-board-certified neurologist with extensive experience as a medical record reviewer. I Co-Founded Neurology Legal Consulting with my partner, Dr. Ovais Inamullah, to provide expert consultation on a wide range of neurological disorders ranging from stroke to seizure, critical care medicine, traumatic brain injury, spinal cord injury, and many others. Through meticulous examination of patient records, I analyze cases with attention to detail, providing valuable insights for legal proceedings.
Robert A. Craven, MD, SFHM, FACP, CHCQM-PHYADV
Craven Medical Consulting, LLC
Murrells Inlet, South Carolina
Internal Medicine
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I am board certified in internal medicine by the American Board of Internal Medicine and healthcare quality management with physician advisor subspecialty by the American Board of Quality Assurance and Utilization Review Physicians. I am a Fellow of the American College of Physicians (FACP) and a Senior Fellow of Hospital Medicine (SFHM). I currently work as a physician advisor for a large non-profit healthcare system. This role is primarily administrative in nature and focuses on preventing and overturning insurance denials and overseeing clinical documentation integrity.
Kenneth M. Rice, M.D.
Suwanee, Georgia
Emergency Medicine
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Diplomate, American Board of Emergency Medicine (ABEM)
Fellow, American College of Emergency Physicians (FACEP)
Founder, owner and Medical Director of an independent Urgent Care center for fourteen years.
Extensive clinical experience in Emergency Medicine, Urgent Care, Primary Care, Occupational Medicine, Worker's Compensation, DOT, Teaching, Supervision, Clinic Management, and Telemedicine.
Paul D Banick, MD, PhD, MBA, FCCP, FACP
Dynamic Health Results, PLLC
Watersound, Florida
Critical Care Medicine, Internal Medicine, Pulmonary Disease
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Dr. Banick was in full time practice (until 2009). He had extensive experience as an expert witness in Pulmonary and Critical Care issues. Recently, his expertise is in the identification and treatment of occupational lung diseases, inhalation injuries, developing lung preservation/monitoring programs and onsite pulmonary consultations for industry clients. He owned Southeastern Occupational Pulmonary Services and performed over 500 IMEs and reviews over 20 years. This included Independent Medical and disability evaluations for workplace inhalation exposures and occupational lung diseases.
MA Flores, DO, MS, MMM
riverside, California
Family Medicine/Family Practice, Occupational Medicine
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Dual Board Certified in Occupational Medicine and Family Medicine. Masters in Environmental Toxicology and Medical Management. Licensed in 30 states. Expert reviewer capable of expedited turn around times, specializing in Worker's Comp Utilization Review and Peer Review.
Joe D. Haines, MD, MPH
Chapel Hill, North Carolina
Family Medicine/Family Practice
Adelle Anthony-Williams, MD
Charlotte, North Carolina
Anesthesiology, Pain
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Yale University trained anesthesiologist with
a fellowship in pain management from UNC Chapel Hill. Over 20 years of clinical experience. Clinical expert in office-based anesthesia and pain management. Additional experience in creation of pain management guidelines for health management organization.