| Lisa P Gowan, CNM | |
|
104 Medical Dr, Dothan, AL 36303-6902 | |
| (334) 671-9445 | |
| (334) 671-0059 |
| Full Name | Lisa P Gowan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 104 Medical Dr, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1265756696 | NPI | - | NPPES |
| O1056034 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 1-056034 (Alabama) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | 1-056034 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Obstetrics And Gynecology Of Dothan Inc | 9436051877 | 6 |
| 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 |
| 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 |
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 |