Dr Marvin Mcgowan, DO is a medicare enrolled "Family Medicine" physician in California, Pennsylvania. His current practice location is
1152 Wood St, California, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 632-6801.
Dr Marvin Mcgowan is licensed to practice in Pennsylvania (license number OS012547) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851382535.
Physician's Profile
| Full Name | Dr Marvin Mcgowan |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1152 Wood St, California, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851382535
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 08/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 2264485689
- Enrollment ID: I20050225000407
Medical Identifiers
Medical identifiers for Dr Marvin Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851382535 | NPI | - | NPPES |
| 1012069240001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | OS012547 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Marvin Mcgowan allows following entities to bill medicare on his behalf.
| Entity Name | Centerville Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801877048 PECOS PAC ID: 7214837202 Enrollment ID: O20040427000681 |
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| Entity Name | Central Outreach Wellness Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063804136 PECOS PAC ID: 6507186772 Enrollment ID: O20150529000928 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marvin Mcgowan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Marvin Mcgowan, DO 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Dr Marvin Mcgowan, DO 1152 Wood St, California, PA 15419-1260 Ph: (724) 632-6801 |
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