Mrs Emily Virginia Bowling, MS RD is a medicare enrolled "Dietitian, Registered" provider in Crestview, Florida. Her current practice location is
1078 S Ferdon Blvd, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 682-0381.
Mrs Emily Virginia Bowling is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821353046.
Healthcare Provider's Profile
| Full Name | Mrs Emily Virginia Bowling |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 1078 S Ferdon Blvd, Crestview, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821353046
- Provider Enumeration Date: 07/13/2012
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658816665
- Enrollment ID: I20240715002449
Medical Identifiers
Medical identifiers for Mrs Emily Virginia Bowling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821353046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | ND6317 (Florida) | Secondary |
| 133V00000X | Dietitian, Registered | DT81061 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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. Mrs Emily Virginia Bowling allows following entities to bill medicare on her behalf.
| Provider Name | Lwell Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700247780
PECOS PAC ID: 5294015004
Enrollment ID: O20161214001124 |
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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. Mrs Emily Virginia Bowling 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 |
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Mrs Emily Virginia Bowling, MS RD
4686 Hickory Signpost Rd,
Williamsburg, VA 23185-2462
Ph: (210) 464-0313 | Mrs Emily Virginia Bowling, MS RD
1078 S Ferdon Blvd,
Crestview, FL 32536-4502
Ph: (850) 682-0381 |
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