| Maxine Mcgowan, MSN, PHD, FNP-C | |
|
3866 Augustine Pl, Rex, GA 30273-5822 | |
| (678) 343-1257 | |
| (770) 507-2352 |
| Full Name | Maxine Mcgowan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 3866 Augustine Pl, Rex, Georgia |
| 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 |
|---|---|---|---|
| 1407907371 | NPI | - | NPPES |
| 8482306 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NR07760600 (New Jersey) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | RN201165 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Tapestry Telehealth Pllc | 4789942335 | 73 |
| Entity Name | Post Acute Care Leaders Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033689336 PECOS PAC ID: 4082951546 Enrollment ID: O20190123000710 |
| Entity Name | Tapestry Telehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992215446 PECOS PAC ID: 4789942335 Enrollment ID: O20200713003438 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxine Mcgowan, MSN, PHD, FNP-C 6571 Yarbrough Dr, Fairburn, GA 30213-4649 Ph: (678) 343-1257 | Maxine Mcgowan, MSN, PHD, FNP-C 3866 Augustine Pl, Rex, GA 30273-5822 Ph: (678) 343-1257 |
Ms. Janarra Kathryn Mallory-crawford, MSN, RN, AGPCNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6190 Pembroke Dr, Rex, GA 30273 Phone: 908-227-5047 | |
Shakir L Gabriel, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Poplar Ridge Dr, Rex, GA 30273 Phone: 770-896-2392 | |
Ms. Alecia Ann Czarnecki, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6240 Crooked Creek Dr, Rex, GA 30273 Phone: 404-273-3480 Fax: 866-860-7253 | |
Beatrice Nduwimana, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3499 Henley St, Rex, GA 30273 Phone: 404-642-2595 |