Ms Tara Bowman, RD is a medicare enrolled "Dietitian, Registered" provider in Evergreen, Alabama. Her current practice location is
344 Bruner Ave, Evergreen, Alabama. You can reach out to her office (for appointments etc.) via phone at
(602) 618-9883.
Ms Tara Bowman is licensed to practice in * (Not Available) (license number ) 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 1992101331.
Healthcare Provider's Profile
| Full Name | Ms Tara Bowman |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 344 Bruner Ave, Evergreen, Alabama |
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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: 1992101331
- Provider Enumeration Date: 11/12/2014
- Last Update Date: 09/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 3274970934
- Enrollment ID: I20240318002791
Medical Identifiers
Medical identifiers for Ms Tara Bowman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992101331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | 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. Ms Tara Bowman allows following entities to bill medicare on her behalf.
| Provider Name | Nourish, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558097824
PECOS PAC ID: 1557724937
Enrollment ID: O20230901000471 |
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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. Ms Tara 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 |
|---|
Ms Tara Bowman, RD
344 Bruner Ave,
Evergreen, AL 36401-3145
Ph: () - | Ms Tara Bowman, RD
344 Bruner Ave,
Evergreen, AL 36401-3145
Ph: (602) 618-9883 |
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