| Kirt Bowen, PA | |
|
8268 164th St, Jamaica, NY 11432-1121 | |
| (718) 883-3070 | |
| Not Available |
| Full Name | Kirt Bowen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 8268 164th St, Jamaica, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700165321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 014975 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Miners Memorial Hospital | Coaldale, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Physician Group Inc | 6709798333 | 2161 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Gslpg, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirt Bowen, PA 12607 101st Ave, 2fl, South Richmond Hill, NY 11419-1505 Ph: (347) 355-6059 | Kirt Bowen, PA 8268 164th St, Jamaica, NY 11432-1121 Ph: (718) 883-3070 |
Angelica Lyte, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14520 106th Ave, Jamaica, NY 11435 Phone: 917-674-2842 |
Sheila A Kern, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Room A531, Jamaica, NY 11432 Phone: 718-883-4133 |
Rafael Robenov, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 84-42 151st Street, Jamaica, NY 11432 Phone: 718-350-6252 |
Ms. Suzanne J Forrester-lowe, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 |
Ludma Delva, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9420 Guy R Brewer Blvd, Jamaica, NY 11451 Phone: 347-796-0392 |
Burkho Nisimova, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 180-05 Hillside Ave, Jamaica, NY 11432 Phone: 718-526-6300 Fax: 718-286-3863 |
Ana Lucia Alvites, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 82-68 164th Street, Jamaica, NY 11432 Phone: 718-883-3000 |