| Michael Keith Bowman, MD | |
|
614 E Main St, Radford, VA 24141-1818 | |
| (540) 633-0776 | |
| Not Available |
| Full Name | Michael Keith Bowman |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 23 Years |
| Location | 614 E Main St, Radford, 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 |
|---|---|---|---|
| 1376510073 | NPI | - | NPPES |
| 0101259607 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25791 (Alabama) | Secondary |
| 207Y00000X | Otolaryngology | 0101259607 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
| Lewisgale Hospital Pulaski | Pulaski, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis Gale Physicians Llc | 6507886231 | 191 |
| Entity Name | Montgomery Surgery Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366486664 PECOS PAC ID: 6204871312 Enrollment ID: O20050620000981 |
| Entity Name | Lewis Gale Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Keith Bowman, MD 1722 Pine St, Suite 804, Montgomery, AL 36106-1103 Ph: (334) 834-7221 | Michael Keith Bowman, MD 614 E Main St, Radford, VA 24141-1818 Ph: (540) 633-0776 |
Dr. Larry A Cowley, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 106 Wadsworth St, Radford, VA 24141 Phone: 540-639-9023 Fax: 540-639-5463 | |
Jennifer Nelson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 106 Wadsworth St, Radford, VA 24141 Phone: 540-639-9023 |