Ladonna Renae Bowling, DO is a medicare enrolled "Family Medicine" physician in Bastian, Virginia. Her current practice location is
12301 Grapefield Rd, Bastian, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 688-4331.
Ladonna Renae Bowling is licensed to practice in Virginia (license number 0102203420) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093845455.
Physician's Profile
| Full Name | Ladonna Renae Bowling |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 12301 Grapefield Rd, Bastian, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093845455
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 02/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 4486710241
- Enrollment ID: I20090303000055
Medical Identifiers
Medical identifiers for Ladonna Renae Bowling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093845455 | NPI | - | NPPES |
| P00708546 | Other | WV | RR MEDICARE |
| 3810014072 | Medicaid | WV | |
| 1104800671 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2128 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 0102203420 (Virginia) | 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. Ladonna Renae Bowling allows following entities to bill medicare on her behalf.
| Entity Name | Princeton Community Hospital Assn. Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093917643
PECOS PAC ID: 3678482221
Enrollment ID: O20031211000436 |
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| Entity Name | Bluefield Clinic Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518273507
PECOS PAC ID: 4486846730
Enrollment ID: O20101005001325 |
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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. Ladonna Renae Bowling 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 |
|---|
Ladonna Renae Bowling, DO
12301 Grapefield Rd,
Bastian, VA 24314-4547
Ph: (276) 688-4331 | Ladonna Renae Bowling, DO
12301 Grapefield Rd,
Bastian, VA 24314-4547
Ph: (276) 688-4331 |
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