| Mr Bryan D Bowen, MD | |
|
5212 W 7th St, Wake Village, TX 75501-5930 | |
| (903) 831-6848 | |
| (903) 223-7089 |
| Full Name | Mr Bryan D Bowen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 5212 W 7th St, Wake Village, Texas |
| 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 |
|---|---|---|---|
| 1770578072 | NPI | - | NPPES |
| 5011750001 | Other | TX | CIGNA GOVERNMENT SERVICES |
| 113270606 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K1374 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Home Health Of East Texas | Longview, TX | Home health agency |
| Encompass Hospice Of Texarkana | Texarkana, TX | Hospice |
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Group Of Texarkana | 3870485626 | 12 |
| Entity Name | Family Medical Group Of Texarkana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831233766 PECOS PAC ID: 3870485626 Enrollment ID: O20040326000325 |
| Entity Name | Red River Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205552130 PECOS PAC ID: 7416320783 Enrollment ID: O20230404002594 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bryan D Bowen, MD 2101 Galleria Oaks Dr, Texarkana, TX 75503-4625 Ph: (903) 791-9120 | Mr Bryan D Bowen, MD 5212 W 7th St, Wake Village, TX 75501-5930 Ph: (903) 831-6848 |
Richard L Tyler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 815 N Kings Hwy, Wake Village, TX 75501 Phone: 903-614-3700 Fax: 903-614-3525 | |
Emma Maria Hinds, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 N Kings Hwy, Wake Village, TX 75501 Phone: 903-832-8515 | |
Shawn A Stussy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5212 W 7th St, Wake Village, TX 75501 Phone: 903-831-6848 Fax: 903-223-7089 |