| Kyle Bruce Fowler, PA-C | |
|
4021 Avenue B, Scottsbluff, NE 69361-4602 | |
| (308) 630-1947 | |
| (308) 630-1439 |
| Full Name | Kyle Bruce Fowler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 4021 Avenue B, Scottsbluff, Nebraska |
| 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 |
|---|---|---|---|
| 1730997875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional West Medical Center | Scottsbluff, NE | Hospital |
| Community Hospital | Torrington, WY | Hospital |
| Box Butte General Hospital | Alliance, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional West Physicians Clinic | 2062301609 | 136 |
| Entity Name | Regional West Physicians Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306910534 PECOS PAC ID: 2062301609 Enrollment ID: O20040315001274 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Bruce Fowler, PA-C 7815 S 196th St, Gretna, NE 68028-5036 Ph: (719) 453-6568 | Kyle Bruce Fowler, PA-C 4021 Avenue B, Scottsbluff, NE 69361-4602 Ph: (308) 630-1947 |
Mrs. Michaela Amroliwalla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 W 42nd St Ste 3100, Scottsbluff, NE 69361 Phone: 308-632-2872 Fax: 308-632-4191 |
Mr. Vance V Siedenburg, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3911 Avenue B Ste G100, Scottsbluff, NE 69361 Phone: 308-630-1348 |
Trinity J Fuss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3911 Avenue B Ste 3100, Scottsbluff, NE 69361 Phone: 308-635-3033 Fax: 308-635-3010 |
Mr. Joseph Edward Jeter, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3911 Avenue B, Suite 1100, Scottsbluff, NE 69361 Phone: 308-630-2100 Fax: 308-630-2138 |
Heidi C Larson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 W 42nd St, Suite 1200, Scottsbluff, NE 69361 Phone: 308-630-1811 |
Katie Metz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361 Phone: 308-632-2872 |
Susan J Deal, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3911 Avenue B, Suite 2250, Scottsbluff, NE 69361 Phone: 308-632-7322 Fax: 308-632-6181 |