Welcome to the SEAK National Directory of Medical File Review Consultants. The following list of Physician (MD or DO)s who are licensed in Tennessee 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.
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.
ANKUSH K BANSAL, MD FACP FACPM SFHM
Loxahatchee, Florida
Internal Medicine
Jeffrey Knox, MD
Bronx, New York
Orthopaedic Surgery
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Experience in spinal surgery, general orthopedic surgery, and interventional pain management procedures
NYU Spine Surgery fellowship trained
NY State Worker's Compensation certified
Have performed thousands of file reviews
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.
Stephanie Anderson, MD, MBA
Jackson, Tennessee
Emergency Medicine, Family Medicine/Family Practice
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.
Jonathan Wiesen, MD
Beachwood, Ohio
Critical Care Medicine, Internal Medicine, Pulmonary Disease
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My areas of expertise include: Critical Care Medicine (Cardio-pulmonary hemodynamics, respiratory physiology, mechanical ventilation, sepsis and septic shock); Pulmonary Medicine (Asthma, COPD, Smoking related diseases, Interstitial Lung Disease, Pulmonary Hypertension, Lung transplantation); Biomedical Ethics (End of life, conflict resolution, triage). I have received a number of teaching and research awards for my academic work at the Cleveland Clinic. I have extensive academic experience with over 75 publications including first authorship of over a dozen full length manuscripts.
Douglas C Mathews, MD, FACS
Howell Allen Clinic
Nashville, Tennessee
Neurological Surgery
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.
Gaurang Mavani, MD
Carmel, Indiana
Internal Medicine, Nephrology
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I have experience in doing disability reviews. I have done more than 25 reviews in disability so far. I work for dane street and brown and brown.
I al also an expert in doing DRG validation. I have done more than 500 reviews so far.
I am also an expert in medical necessity review for inpatient and observation. I have seen more than 30,000 reviews so far.
I also have done more than 10 Medical review approval for Nephrology.
I want to develop my disability file review practice.
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.
E Lynn Phillips, MD
Atlanta, Georgia
Orthopaedic Surgery
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Additional Training
1. AMA Guides Sixth Edition Impairment Rating Course
2. 23rd Annual AAOS Workers' Compensation Course
3. SEAK Trained: How to Start, Build and Run a Successful IME Practice
4. SEAK Trained: How to Start, Build and Run A Successful Disability and File Review Practice
Alton Williams, MD, JD
Durham, North Carolina
Psychiatry, Psychiatry, Forensic
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I am a board-certified forensics psychiatrist with 20 years of experience. Performance of file reviews since 2015. I have completed over 500 file reviews with on time delivery. Additionally, I have performed over 100 independent medical examinations. I have extensive experience in utilization management and appeals regarding managed care claims.
James P Little, MD, MBA
Southern Rehabilitation Group, PLLC
Chattanooga, Tennessee
Physical Medicine and Rehabilitation
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Board Certification in Physical Medicine & Rehabilitation
Electrodiagnostic Medicine - ABEM, IMEs, ABIME
Independent Medical Examiners Certification
Certified Medical Review Officer
HOSPITAL APPOINTMENTS-CURRENT:
May 2014-Southern KY Rehabilitation Hospital, Bowling Green, KY,
August 2014-The Medical Center, Bowling Green, KY, Active, PMR
OTHER APPOINTMENTS:
May2014–Present: Medical Director, Southern KY Rehabilitation Hospital
July 2010-May 2014: Medical Director, The Rehabilitation Hospital of SW VA
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.
Jasdeep Dalawari, MD, FACC, FSCAI
Dalawari Medical Services, LLC DBA Cardiomedlegal
Glen Allen, Virginia
Cardiovascular Disease, Emergency Medicine, Internal Medicine, Interventional Cardiology
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University of Pikeville Interventional Cardiology Faculty
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.
Ronald S. Sims, MD
Dubuque Neurology & Sleep Medicine
Dubuque, Iowa
Neurology, Sleep Medicine
H. James Wiesman, MD
Columbia Orthopedic Clinic
Columbia, Tennessee
Orthopaedic Surgery, Sports Medicine, Orthopaedic
Cyrus Kao, MD
Rehabilitation Consultants LLC
Nashville, Tennessee
Pain, Physical Medicine and Rehabilitation
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Consultant/Clinician in Physiatry and Pain Medicine for medical legal consultation, and physician management
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Proficient in performing medical/legal consultations for personal injury/WC cases
Independent Medical Reviews
Certified Life Care Planner (LCP-C)
Disability Reviews
Liability Reviews
Causality Reviews
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New York Worker’s Compensation Board – Certified – 278489-01 Coded CPMR, CPMR-PM, Issued 9/15/17
Colorado Worker’s Compensation Board - Level I Accreditation, Issued 8/30/2023
Robert H Odell, MD, PhD
Neuropathy & Pain Center of Las Vegas
Las Vegas, Nevada
Anesthesiology, Pain
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Dr. Odell is Founder of Neuropathy and Pain Centers of Las Vegas and is Co-owner of Associated Pain Specialists, with two clinics in east TN. At both practices, he does interventional pain procedures, including a new safe and effective treatment for peripheral neuropathy.He has extensive experience with a wide variety of pain management techniques including spinal cord stimulator placement, radiofrequency procedures in the spine. He has done multiple record reviews for both plaintiff and defense in medical legal cases. He has published extensively in the pain management literature.
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.
Alexander Alperovich, M.D.
Jackson, Tennessee
Cardiovascular Disease, Interventional Cardiology
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Extensive experience in management Cardiovascular diseases, Interventional endovascular procedures including coronary arteries, peripheral arterial interventions. Also, extensive experience in the management of the Venous and Lymphatic Systems diseases, including interventional, endovascular procedures. Diplomate of ABVLM in the past. Performed multiple reviews for insurance companies as an expert including depositions with legal teams. I have over 10 years of Internal Medicine practice experience. My area of expertise includes complex cardiovascular issues, cardiogenic shock modern management
Elizabeth C Smith, DO, MPH
Elizabeth C Smith DO LLC
Atlanta, Georgia
Emergency Medicine
Merrill S. Wise, M.D.
Mid-South Pulmonary and Sleep Specialists, PC
Memphis, Tennessee
Neurology, Child, Pediatrics, Sleep Medicine
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Extensive experience in sleep medicine; currently in the full time practice of pediatric and adult sleep medicine. Prior full time academic appointments at Baylor College of Medicine and the University of Alabama at Birmingham. Special interest and expertise in the characterization, evaluation and management of excessive daytime sleepiness, and the impact of sleepiness on cognitive function, vocational performance, safety, and driving. Served on numerous committees and task forces of the American Academy of Sleep Medicine, and the AASM board of directors.
Christina Ennabi Waller, DO
Riverside, California
Emergency Medicine
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Leadership skills
Excellent interpersonal skills
Ability to type 82 words per minute
Experience in medical writing
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.
Larry Johnson, MD
Dallas, Texas
Orthopaedic Surgery
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Assistant Clinical Professor. UT Southwestern Medical Center
Have experience in multiple clinical environments including trauma, sports, work comp, independent medical examinations, military veterans and disability.
Have worked with multiple forms of reimbursement including self(private practice), salaried, HMOs. Attend conferences at the medical school on a routine basis. Work in an environment where our work is routinely scrutinized. Continue in practice
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.
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.
Alfred A. Pirro, MD
Hampstead, North Carolina
Critical Care Medicine, Anesthesiology
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Twenty-two years of experience providing diagnoses and treatment services in a wide variety of settings as a critical care and hospitalist physician with 15 years as a ICU director. I have written policy and procedure; served on numerous committees including Pharmacy and Therapeutics, Patient Safety and Quality Oversight, Physician Advisor for Case Management, Code Blue/RRT, Clinical Advisory, and Morbidity and Mortality Review.
My communication is clear, concise and understandable; teaching and explaining information on level with the audience.