| Dr Michael Francis Gowen, MD | |
|
4573 Benes Road, Glen Carbon, IL 64064 | |
| (618) 961-1950 | |
| Not Available |
| Full Name | Dr Michael Francis Gowen |
|---|---|
| Gender | Male |
| Speciality | Micrographic Dermatologic Surgery (mds) |
| Experience | 8 Years |
| Location | 4573 Benes Road, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508357799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 036161428 (Illinois) | Secondary |
| 207N00000X | Dermatology | 036161428 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Skin Specialists Illinois Ltd Pc | 6709138258 | 10 |
| Entity Name | United Skin Specialists Illinois Ltd Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194225268 PECOS PAC ID: 6709138258 Enrollment ID: O20181010002385 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Francis Gowen, MD 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 Ph: (763) 367-7110 | Dr Michael Francis Gowen, MD 4573 Benes Road, Glen Carbon, IL 64064 Ph: (618) 961-1950 |
Dr. George T Nahass, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4573 Benes Ave, Glen Carbon, IL 64064 Phone: 618-961-1950 | |
Dr. Aliza Hasan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4575 Benes Ave Ste 375, Glen Carbon, IL 62034 Phone: 618-961-1950 |