| Dr Shane Bowen, MD | |
|
3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | |
| (304) 388-4170 | |
| Not Available |
| Full Name | Dr Shane Bowen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 3200 Maccorkle Ave Se, Charleston, West Virginia |
| 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 |
|---|---|---|---|
| 1184602963 | NPI | - | NPPES |
| 2333157 | Medicaid | OH | |
| 0126718000 | Medicaid | WV | |
| 64051394 | Medicaid | KY | |
| 3001167 | Other | WV | WORKERS COMPENSATION |
| 001718054 | Other | WV | BLUE CROSS BLUE SHIELD |
| 1036688 | Other | WV | CH WV DWC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 18065 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Minnie Hamilton Health System | Grantsville, WV | Hospital |
| St Mary's Medical Center | Huntington, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minnie Hamilton Health Care Center Inc | 2961311667 | 21 |
| Charleston Area Medical Center Inc | 3375441637 | 859 |
| Allied West Virginia Emergency Physicians Pllc | 8325326648 | 8 |
| Comprehensive Occ Med Physicals Acadandsurveillancesolutionsllc. | 8921400110 | 5 |
| Entity Name | Minnie Hamilton Health Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124029400 PECOS PAC ID: 2961311667 Enrollment ID: O20031204000002 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | Allied West Virginia Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487109104 PECOS PAC ID: 8325326648 Enrollment ID: O20161020001514 |
| Entity Name | Racine Observation Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588196851 PECOS PAC ID: 1254601578 Enrollment ID: O20170719003225 |
| Entity Name | Comprehensive Occ Med Physicals Acad&surveillancesolutionsllc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073022067 PECOS PAC ID: 8921400110 Enrollment ID: O20210813000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Bowen, MD 501 Morris St, Charleston, WV 25301-1326 Ph: (800) 875-0136 | Dr Shane Bowen, MD 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 Ph: (304) 388-4170 |
Barry Michael Mitchell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 Brooks St, Charleston, WV 25301 Phone: 304-395-0401 | |
Cameron Duba, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-4172 Fax: 304-388-4155 | |
Adam Thomas Crawford, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-7170 Fax: 304-388-4621 | |
Dr. Hunter Nielsen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432 Fax: 304-388-3360 | |
Bradley Nine, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432 | |
Calvin Huan Yang, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-4172 Fax: 304-388-4155 | |
Roger Taylor, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-647-6006 |