| 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 |