| Dr Mary Kathryn Bowen, MD | |
|
905 Franklin St, Waterloo, IA 50703-4407 | |
| (319) 272-4300 | |
| (319) 272-4411 |
| Full Name | Dr Mary Kathryn Bowen |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 905 Franklin St, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497911838 | NPI | - | NPPES |
| 0076372 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2012001377 (Missouri) | Secondary |
| 208000000X | Pediatrics | 16195 (Nebraska) | Secondary |
| 208000000X | Pediatrics | MD42989 (Iowa) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Kathryn Bowen, MD 905 Franklin St, Waterloo, IA 50703-4407 Ph: (319) 874-3000 | Dr Mary Kathryn Bowen, MD 905 Franklin St, Waterloo, IA 50703-4407 Ph: (319) 272-4300 |
Dr. Michelle Nicole Kompare, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8000 | |
Dr. Brian E Sims, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5445 | |
Kiley Erin Lahmann, DNP ARNP CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-874-3000 | |
Dr. Benjamin Harrison Davidson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2710 Saint Francis Dr., Suite 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5445 | |
Dr. Lori A. Shockley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-1535 | |
Pradeep Kumar Velumula, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8203 Fax: 319-272-8203 | |
Kimberly Neumann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-272-4300 |