| Dr Lance M Gowen, MD | |
|
515 Rivercrossing Dr Ste 180, Fort Mill, SC 29715-7900 | |
| (803) 547-7541 | |
| (803) 548-0122 |
| Full Name | Dr Lance M Gowen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 515 Rivercrossing Dr Ste 180, Fort Mill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114999737 | NPI | - | NPPES |
| 47065527613 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15208 (Nebraska) | Primary |
| Entity Name | Piedmont Physician Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194277186 PECOS PAC ID: 7911287552 Enrollment ID: O20161216001613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lance M Gowen, MD 1101 N 10th St, Beatrice, NE 68310-2001 Ph: (402) 228-3436 | Dr Lance M Gowen, MD 515 Rivercrossing Dr Ste 180, Fort Mill, SC 29715-7900 Ph: (803) 547-7541 |
Dr. Ann Elizabeth Meyer, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1690 Highway 160 W, Fort Mill, SC 29708 Phone: 803-547-7541 | |
Dr. Kenneth Edward Nunnery, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1690 Highway 160 W, Fort Mill, SC 29708 Phone: 803-547-7541 Fax: 803-548-0122 | |
Inna Slisz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 704 Gold Hill Rd, Fort Mill, SC 29715 Phone: 803-835-0420 | |
Dr. George Marshall Yearta, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1690 Highway 160 W, Fort Mill, SC 29708 Phone: 803-547-7541 Fax: 803-548-0122 | |
Amary Smith Doehling, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 Carolna Place Dr, Fort Mill, SC 29708 Phone: 704-308-2557 | |
Dr. Pratik Arunkumar Mehta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 Sixth Baxter Xing, Suite A, Fort Mill, SC 29708 Phone: 803-835-2088 Fax: 803-835-2099 |