| Mr Jachob Bradley Bowlin, MBA, MSN, CRNA | |
| 
					770 Hancock Ave, Corbin, KY 40701-2545  | |
| (606) 765-2896 | |
| Not Available | 
| Full Name | Mr Jachob Bradley Bowlin | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 770 Hancock Ave, Corbin, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821605767 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3018828 (Kentucky) | Primary | 
| Entity Name | Commonwealth Anesthesia, Psc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115  | 
| Entity Name | Capital Anesthesia Solutions Of Kentucky Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023665882 PECOS PAC ID: 0446681548 Enrollment ID: O20200505001112  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Jachob Bradley Bowlin, MBA, MSN, CRNA 4216 Somerset Rd, London, KY 40741-9615 Ph: (606) 765-7759  | Mr Jachob Bradley Bowlin, MBA, MSN, CRNA 770 Hancock Ave, Corbin, KY 40701-2545 Ph: (606) 765-2896  | 
Benjamin C Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212  | |
Corissa L. Stovall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212  | |
Edward M Hoffner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 205, Corbin, KY 40701 Phone: 606-523-2140 Fax: 606-523-2547  | |
Jeffrey L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 275 Highway 770, Corbin, KY 40701 Phone: 606-526-7874  | |
Lisa K Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212  | |
Jaime I. Davenport, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212  | |
Mrs. Iris A Horton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 275 Hwy 770, Corbin, KY 40701 Phone: 865-777-0909 Fax: 865-777-0910  |