| Kendra D Bowen, PAC | |
|
1441 W Broadway, Centralia, IL 62801-5613 | |
| (618) 532-9050 | |
| Not Available |
| Full Name | Kendra D Bowen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1441 W Broadway, Centralia, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457318438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 010234 (New York) | Secondary |
| 363A00000X | Physician Assistant | 085003158 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Good Samaritan Regional Hlth Center | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 120 |
| Entity Name | Physician Services Corporation of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra D Bowen, PAC 1441 W Broadway, Centralia, IL 62801-5613 Ph: (618) 532-9050 | Kendra D Bowen, PAC 1441 W Broadway, Centralia, IL 62801-5613 Ph: (618) 532-9050 |
Karen Diane Hummel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 |
Rex Stombaugh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 |
Madyson Alexis Darr, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8000 |
Carolyn K Mcmurphy-quick, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 204 E 3rd St, Centralia, IL 62801 Phone: 618-244-4800 Fax: 618-244-4804 |
Ann Martha Marie Ibberson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8000 |
Mr. William Edward Buckett, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1054 Martin Luther King Dr, Ste 124, Centralia, IL 62801 Phone: 618-533-8700 Fax: 618-533-8701 |
Herbert James Huston, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 404 N Pleasant Ave, Centralia, IL 62801 Phone: 618-339-9872 Fax: 618-533-6816 |