| Angela S Mowery, MD | |
| 
					205 S Bradley Hwy, Rogers City, MI 49779-2137  | |
| (989) 734-2052 | |
| (989) 734-7390 | 
| Full Name | Angela S Mowery | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 205 S Bradley Hwy, Rogers City, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699773580 | NPI | - | NPPES | 
| AM078165 | Other | MI | BLUE CROSS BLUE SHIELD MI | 
| 1041941 | Other | PREFERREDONE | |
| 901S9MO | Other | MN | BCBS | 
| 34568700 | Medicaid | WI | |
| 4641031 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301078165 (Michigan) | Primary | 
| Entity Name | Henry Ford Macomb Hospital Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angela S Mowery, MD Po Box 427, Hillman, MI 49746-0427 Ph: (989) 354-2197  | Angela S Mowery, MD 205 S Bradley Hwy, Rogers City, MI 49779-2137 Ph: (989) 734-2052  | 
Michael B Fairbanks, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 S Bradley Hwy, Rogers City, MI 49779 Phone: 989-734-2052 Fax: 989-734-7390  | |
Marion C Hautea, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Bradley Hwy, Rogers City, MI 49779 Phone: 989-734-2052 Fax: 989-734-7390  |