Dr Dallis Mark Bowditch, MD in Logansport, IN

Dr Dallis Mark Bowditch, MD is a medicare enrolled "Family Medicine" physician in Logansport, Indiana. His current practice location is 1201 Michigan Ave, Suite 140, Logansport, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 753-1462.

Dr Dallis Mark Bowditch is licensed to practice in Indiana (license number 01032465A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790788255.

Contact Information

	Dr Dallis Mark Bowditch, MD
	1201 Michigan Ave, Suite 140, Logansport, IN 46947-1580
	(574) 753-1462
	(574) 753-1465

Map and Direction

Physician's Profile

Full Name	Dr Dallis Mark Bowditch
Gender	Male
Speciality	Family Medicine
Location	1201 Michigan Ave, Logansport, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790788255
Provider Enumeration Date: 05/27/2005
Last Update Date: 12/01/2015

Medicare PECOS Information:

PECOS PAC ID: 7012901010
Enrollment ID: I20230203002127

Medical Identifiers

Medical identifiers for Dr Dallis Mark Bowditch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790788255	NPI	-	NPPES
4216390	Other	IN	AETNA ID
100070810	Medicaid	IN
000000546802	Other		ANTHEM BLUE CROSS
6148784003	Other	IN	CIGNA ID
080096741	Other		MEDICARE RAILROAD
112810C	Other		OLD MEDICARE ID #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01032465A (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dallis Mark Bowditch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Dallis Mark Bowditch, MD 1201 Michigan Ave, Suite 140, Logansport, IN 46947-1580 Ph: (574) 753-1462	Dr Dallis Mark Bowditch, MD 1201 Michigan Ave, Suite 140, Logansport, IN 46947-1580 Ph: (574) 753-1462

Reviews and Comments

Family Medicine Doctors in Logansport, IN

Dr. Kevin O'brien, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2413 High St, Logansport, IN 46947 Phone: 574-732-4609 Fax: 574-732-1049
Rene S Gutierrez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 E Market St, Logansport, IN 46947 Phone: 574-722-9633 Fax: 574-722-5987
Olusina Akande, MD, MBA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 Michigan Ave Ste 270, Logansport, IN 46947 Phone: 574-722-4921
Cory Scott Neumann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 Michigan Avenue, Ste 270, Logansport, IN 46947 Phone: 574-722-4921 Fax: 574-739-0520
Dr. Tonya Goodspeed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 Michigan Ave, Suite 270, Logansport, IN 46947 Phone: 574-722-4921 Fax: 574-739-0520
Stephanie Anne Dill, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Michigan Address, Logansport, IN 46947 Phone: 574-870-6180
Dr. Robert Alan Mckissick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 Michigan Ave, Suite 270, Logansport, IN 46947 Phone: 574-722-4921 Fax: 574-739-0520

Dr Dallis Mark Bowditch, MD - Medicare Family Medicine in Logansport, IN