| Mr Andrew Joseph Bowman, NP | |
|
2605 N Lebanon St, Lebanon, IN 46052-1476 | |
| (765) 485-8500 | |
| (765) 485-8509 |
| Full Name | Mr Andrew Joseph Bowman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 2605 N Lebanon St, Lebanon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649458829 | NPI | - | NPPES |
| 000000639992 | Other | IN | ANTHEM PROVIDER NUMBER |
| PENDING | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 71002461A (Indiana) | Primary |
| Entity Name | St. Vincent Emergency Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306891700 PECOS PAC ID: 1759363450 Enrollment ID: O20040720000734 |
| Entity Name | Lafayette Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891741641 PECOS PAC ID: 9931172863 Enrollment ID: O20040818000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Joseph Bowman, NP 1800 Beechwood Dr, Lafayette, IN 47905-4159 Ph: (765) 448-6509 | Mr Andrew Joseph Bowman, NP 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: (765) 485-8500 |
Sara Elizabeth Brainerd, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 Lebanon Street, Lebanon, IN 46052 Phone: 765-482-7005 Fax: 765-483-2517 | |
Mrs. Nora Camille Wilcox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 866-389-2727 | |
Mrs. Staci Jeanne Sides, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 | |
Allison Rae Shrack, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 | |
Mr. Mitchell Lee Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 N Lebanon St, Lebanon, IN 46052 Phone: 765-485-8000 | |
Jennifer Holladay, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 S Lebanon St, Lebanon, IN 46052 Phone: 765-482-3630 | |
Alexandria Joanne Roemke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Mount Zion Rd, Lebanon, IN 46052 Phone: 765-335-0123 Fax: 765-335-0127 |