| Phillip Lowe, MD | |
|
555 E Broadway, Suite 207, Jackson, WY 83001 | |
| (307) 733-7460 | |
| (307) 733-7482 |
| Full Name | Phillip Lowe |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 555 E Broadway, Jackson, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356406599 | NPI | - | NPPES |
| 806233600 | Medicaid | ID | |
| 806684400 | Medicaid | ID | |
| 118827500 | Medicaid | WY | |
| 114954700 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 6215A (Wyoming) | Primary |
| 2088P0231X | Urology - Pediatric Urology | 6215A (Wyoming) | Secondary |
| Entity Name | Urology Associates Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902982051 PECOS PAC ID: 6800878281 Enrollment ID: O20040601001439 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Lowe, MD Po Box 12890, Jackson, WY 83002-2890 Ph: (307) 733-7460 | Phillip Lowe, MD 555 E Broadway, Suite 207, Jackson, WY 83001 Ph: (307) 733-7460 |
Dr. Ted Olin Morgan Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001 Phone: 307-739-7690 Fax: 307-739-4970 | |
Lisa J Finkelstein, DO FACOS Urology Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001 Phone: 307-739-7690 Fax: 307-739-7644 |