| Amanda C Bowers, MD | |
| 
					70 Atlantic Ave, Marblehead, MA 01945-3098  | |
| (781) 631-7800 | |
| (781) 631-4319 | 
| Full Name | Amanda C Bowers | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 70 Atlantic Ave, Marblehead, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568824902 | NPI | - | NPPES | 
| MD23166 | Other | ME | STATE LICENSE | 
| MCSR005248A | Other | MA | MCSR | 
| 14523875 | Other | CAQH | |
| 279201 | Other | MA | STATE LICENSE | 
| 042.0014718 | Other | VT | STATE LICENSE | 
| 1470576 | Other | AAP | |
| 1015844 | Other | ABP | |
| 470641 | Other | PA | STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 279201 (Massachusetts) | Primary | 
| Entity Name | York Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376528398 PECOS PAC ID: 6406766781 Enrollment ID: O20040812001065  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda C Bowers, MD 70 Atlantic Ave, Marblehead, MA 01945-3098 Ph: (781) 631-7800  | Amanda C Bowers, MD 70 Atlantic Ave, Marblehead, MA 01945-3098 Ph: (781) 631-7800  | 
Lisa A Gast, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 70 Atlantic Ave, Marblehead, MA 01945 Phone: 781-631-7800 Fax: 781-631-4319  | |
Philomena A Asante, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 70 Atlantic Ave, Marblehead, MA 01945 Phone: 781-631-7800  | |
Sarah K O'connor, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 70 Atlantic Ave, Marblehead, MA 01945 Phone: 781-631-7800 Fax: 781-631-4319  | |
Richard Michael Miller, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 70 Atlantic Ave, Marblehead, MA 01945 Phone: 781-631-7800 Fax: 781-631-4317  | |
Richard Vonrueden, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Mary Ln, Marblehead, MA 01945 Phone: 781-639-8450  | |
Herbert E Cohn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Wharf Path Apt D, Marblehead, MA 01945 Phone: 781-631-7594  | |
Dr. Daniel Yang Shen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 70 Atlantic Ave, Marblehead, MA 01945 Phone: 781-631-7800 Fax: 781-631-4319  |