| Dustin Michael Cowan, FNP-C | |
| 200 Rittenhouse Cir Bldg 4, Bristol, PA 19007-1619 | |
| (859) 321-3173 | |
| Not Available | 
| Full Name | Dustin Michael Cowan | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 200 Rittenhouse Cir Bldg 4, Bristol, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073300901 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP030242 (Pennsylvania) | Primary | 
| Entity Name | Encore Clinical Services - Pa Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1992487540 PECOS PAC ID: 0345695268 Enrollment ID: O20231012003835 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dustin Michael Cowan, FNP-C 200 Rittenhouse Cir Ste 4, Bristol, PA 19007-1619 Ph: (859) 321-3173 | Dustin Michael Cowan, FNP-C 200 Rittenhouse Cir Bldg 4, Bristol, PA 19007-1619 Ph: (859) 321-3173 | 
| Trinell Copenheaver,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 443-383-9300 | |
| Leigh Frangos-li,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Bath Rd, Bristol, PA 19007 Phone: 215-785-9050 | |
| Jennifer Huynh,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 215-785-3201 | |
| Ms. Iris Stendig-raskin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Veterans Hwy, Bristol, PA 19007 Phone: 215-785-4594 | |
| Lori Talutto,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Tower Rd, Bristol, PA 19007 Phone: 443-383-9300 | |
| Angelica Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 Tower Rd # 3188, Bristol, PA 19007 Phone: 443-383-9300 |