| Dr Elizabeth Nichole Bowman, DO | |
|
401 N Main St, Gravois Mills, MO 65037-6253 | |
| (877) 406-2662 | |
| Not Available |
| Full Name | Dr Elizabeth Nichole Bowman |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 401 N Main St, Gravois Mills, Missouri |
| 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 |
|---|---|---|---|
| 1285120865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2018036361 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 2017018672 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richland Medical Center, Inc. | 2062554025 | 29 |
| Entity Name | Richland Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891931978 PECOS PAC ID: 2062554025 Enrollment ID: O20100525000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Nichole Bowman, DO Po Box 777, Richland, MO 65556-0777 Ph: (660) 626-2222 | Dr Elizabeth Nichole Bowman, DO 401 N Main St, Gravois Mills, MO 65037-6253 Ph: (877) 406-2662 |
Kenneth L Derrington, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 156 Missouri Blvd Ste B, Gravois Mills, MO 65037 Phone: 573-374-5263 Fax: 573-374-4933 | |
Brandon C.w. Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 156 Missouri Blvd, Gravois Mills, MO 65037 Phone: 573-374-5263 Fax: 573-374-4933 | |
Dr. Justin Daniel Terrell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 401 N Main St, Gravois Mills, MO 65037 Phone: 877-406-2662 Fax: 573-207-2773 |