| Blythe Elizabeth Bowman, MD | |
|
15 Crawford St Ste 100, Needham, MA 02494-2648 | |
| (866) 588-3280 | |
| (972) 767-0225 |
| Full Name | Blythe Elizabeth Bowman |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 17 Years |
| Location | 15 Crawford St Ste 100, Needham, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427287614 | NPI | - | NPPES |
| 2377817 | Medicaid | LA | |
| 01439346 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD207433 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Medical Group Pllc | 1153753520 | 15 |
| Entity Name | Advanced Pathology Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053686964 PECOS PAC ID: 5597926709 Enrollment ID: O20120416000535 |
| Entity Name | Prime Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427605153 PECOS PAC ID: 1153753520 Enrollment ID: O20191125000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Blythe Elizabeth Bowman, MD 15 Crawford St Ste 100, Needham, MA 02494-2648 Ph: (866) 588-3280 | Blythe Elizabeth Bowman, MD 15 Crawford St Ste 100, Needham, MA 02494-2648 Ph: (866) 588-3280 |
Dr. Mary Aldrene Tan, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 15 Crawford St Ste 100, Needham, MA 02494 Phone: 617-969-4100 Fax: 617-969-3393 | |
Alejandro Peralta Soler, MD Pathology Medicare: Medicare Enrolled Practice Location: 15 Crawford St Ste 100, Needham, MA 02494 Phone: 617-969-4100 | |
Dr. Tanya Arvind Rege, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 15 Crawford St Ste 100, Needham, MA 02494 Phone: 617-969-4100 Fax: 617-969-3393 | |
Mahmoud Goodarzi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 15 Crawford St Ste 100, Needham, MA 02494 Phone: 617-969-4100 | |
Joseph C. Bergeron, MD Pathology Medicare: Medicare Enrolled Practice Location: 152 2nd Ave, Needham, MA 02494 Phone: 781-292-7260 Fax: 781-292-7260 | |
Gilbert L. Brodsky, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 152 2nd Ave, Needham, MA 02494 Phone: 781-292-7260 Fax: 781-292-7270 |