Lisa P Gowan, CNM in Dothan, AL - Medicare Advanced Practice Midwife

Lisa P Gowan, CNM is a medicare enrolled "Advanced Practice Midwife" in Dothan, Alabama. Her current practice location is 104 Medical Dr, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 671-9445.

Lisa P Gowan is licensed to practice in Alabama (license number 1-056034) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265756696.

Contact Information

	Lisa P Gowan, CNM
	104 Medical Dr, Dothan, AL 36303-6902
	(334) 671-9445
	(334) 671-0059

Map and Direction

Provider's Profile

Full Name	Lisa P Gowan
Gender	Female
Speciality	Advanced Practice Midwife
Location	104 Medical Dr, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265756696
Provider Enumeration Date: 03/14/2010
Last Update Date: 05/05/2015

Medicare PECOS Information:

PECOS PAC ID: 5294868998
Enrollment ID: I20150112000306

Medical Identifiers

Medical identifiers for Lisa P Gowan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265756696	NPI	-	NPPES
O1056034	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	1-056034 (Alabama)	Primary
363LW0102X	Nurse Practitioner - Women's Health	1-056034 (Alabama)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa P Gowan allows following entities to bill medicare on her behalf.

Entity Name	Obstetrics & Gynecology Of Dothan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114021409 PECOS PAC ID: 9436051877 Enrollment ID: O20040124000415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa P Gowan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lisa P Gowan, CNM 211 Johntown Rd, Ozark, AL 36360-7517 Ph: (334) 237-4644	Lisa P Gowan, CNM 104 Medical Dr, Dothan, AL 36303-6902 Ph: (334) 671-9445

Reviews and Comments

Advanced Practice Midwife Nurses in Dothan, AL

Mrs. Jordan Marie Miles, CNM, CPM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 256 Honeysuckle Rd Ste 10, Dothan, AL 36305 Phone: 850-326-6066 Fax: 806-482-1688
Bonita G Helms, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1806 Fairview Ave, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901
Linda S Karle, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1806 Fairview Ave, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901
Carole Elizabeth Heath, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1806 Fairview Ave, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901
Roxanne B Mcfarland, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1806 Fairview Ave, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901
Janet L Brodie, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1806 Fairview Ave, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901

Lisa P Gowan, CNM - Medicare Advanced Practice Midwife in Dothan, AL