Jeta Laurie Bowman, AGNP in Tyler, TX - Medicare Nurse Practitioner

Jeta Laurie Bowman, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Tyler, Texas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Christus Trinity Clinic and her current practice location is 520 Douglas Blvd, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-1721.

Jeta Laurie Bowman is licensed to practice in Texas (license number AP130960) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366899288.

Contact Information

	Jeta Laurie Bowman, AGNP
	520 Douglas Blvd, Tyler, TX 75702
	(903) 606-1721
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeta Laurie Bowman
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	520 Douglas Blvd, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeta Laurie Bowman graduated from nursing school in 2015

NPI Data:

NPI Number: 1366899288
Provider Enumeration Date: 05/20/2016
Last Update Date: 07/01/2019

Medicare PECOS Information:

PECOS PAC ID: 1759667819
Enrollment ID: I20170404002497

Medical Identifiers

Medical identifiers for Jeta Laurie Bowman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366899288	NPI	-	NPPES
381618302	Medicaid	TX
P02223408	Other	TX	MEDICARE RAIL ROAD
787876	Other	TX	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	AP130960 (Texas)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	AP130960 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1227

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeta Laurie Bowman allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Kunik Health, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750550778 PECOS PAC ID: 2961573696 Enrollment ID: O20080624000146

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. Jeta Laurie Bowman 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
Jeta Laurie Bowman, AGNP Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400	Jeta Laurie Bowman, AGNP 520 Douglas Blvd, Tyler, TX 75702 Ph: (903) 606-1721

Reviews and Comments

Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Jeta Laurie Bowman, AGNP - Medicare Nurse Practitioner in Tyler, TX