Shane Bowman, is a
Student In An Organized Health Care Education/training Program physician based in Norwalk, Connecticut. Shane Bowman is licensed to practice in Connecticut (license number 77626) and his current practice location is 34 Maple St, Norwalk, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 852-2000.
NPI number for Shane Bowman is 1427645886 and his current mailing address is 34 Maple St, Norwalk, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427645886.
Physician's Profile
| Full Name | Shane Bowman |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 34 Maple St, Norwalk, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427645886
- Provider Enumeration Date: 12/30/2020
- Last Update Date: 09/10/2024
Medical Identifiers
Medical identifiers for Shane Bowman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427645886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 77626 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 77626 (Connecticut) | Primary |
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. Shane Bowman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shane Bowman,
34 Maple St,
Norwalk, CT 06850-3894
Ph: (203) 852-2000 | Shane Bowman,
34 Maple St,
Norwalk, CT 06850-3894
Ph: (203) 852-2000 |
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