Mrs Angela H Sullivan-bowman, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Ft. Oglethorpe, Georgia. Her current practice location is
2403 Battlefield Parkway, Ft. Oglethorpe, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 866-7700.
Mrs Angela H Sullivan-bowman is licensed to practice in Georgia (license number GAA-NP000772) 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 1063405553.
Provider's Profile
| Full Name | Mrs Angela H Sullivan-bowman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2403 Battlefield Parkway, Ft. Oglethorpe, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063405553
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608776927
- Enrollment ID: I20040112000479
Medical Identifiers
Medical identifiers for Mrs Angela H Sullivan-bowman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063405553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 6046 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | GAA-NP000772 (Georgia) | Primary |
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. Mrs Angela H Sullivan-bowman allows following entities to bill medicare on her behalf.
| Entity Name | Diagnostic Cardiology Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437148152
PECOS PAC ID: 1052387495
Enrollment ID: O20040907001032 |
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| Entity Name | Cogent Healthcare Of Tennessee, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952654246
PECOS PAC ID: 8628221165
Enrollment ID: O20130110000564 |
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| Entity Name | Integrated Health Transitions Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922463470
PECOS PAC ID: 7315242302
Enrollment ID: O20160301000279 |
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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. Mrs Angela H Sullivan-bowman 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 |
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Mrs Angela H Sullivan-bowman, NP-C
2717 East Oakland Avenue,
Johnson City, TN 37601-1843
Ph: (423) 926-2358 | Mrs Angela H Sullivan-bowman, NP-C
2403 Battlefield Parkway,
Ft. Oglethorpe, GA 30742
Ph: (706) 866-7700 |
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