| Gayle A Bowman, | |
|
283 Butler Rd, Mount Gretna, PA 17064-6085 | |
| (717) 279-2791 | |
| (717) 279-2778 |
| Full Name | Gayle A Bowman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 283 Butler Rd, Mount Gretna, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629349568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 016844 (Pennsylvania) | Primary |
| Entity Name | Philhaven |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103 |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Gayle A Bowman, 816 Pheasant Ct, Hummelstown, PA 17036-8838 Ph: (570) 423-0029 | Gayle A Bowman, 283 Butler Rd, Mount Gretna, PA 17064-6085 Ph: (717) 279-2791 |
Jacqueline Marie Keener, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 283 Butler Rd, Mount Gretna, PA 17064 Phone: 717-738-8712 | |
Mr. Johnny Edward Patterson Jr., APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 283 Butler Rd, Mount Gretna, PA 17064 Phone: 717-273-8871 |