Dr Douglas W Bowling, MD | |
3496 Nw Federal Hwy, Jensen Beach, FL 34957-4441 | |
(772) 223-5612 | |
(772) 223-4949 |
Full Name | Dr Douglas W Bowling |
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Gender | Male |
Speciality | Pediatrics |
Location | 3496 Nw Federal Hwy, Jensen Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124003207 | NPI | - | NPPES |
378452500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME0068504 (Florida) | Primary |
Entity Name | Martin Memorial Physicians Corporation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas W Bowling, MD Po Box 417, Stuart, FL 34995-0417 Ph: (772) 223-2832 | Dr Douglas W Bowling, MD 3496 Nw Federal Hwy, Jensen Beach, FL 34957-4441 Ph: (772) 223-5612 |
Dr. Gina Lou Penaflor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3496 Nw Federal Hwy, Jensen Beach, FL 34957 Phone: 772-223-5612 Fax: 772-223-5689 | |
Dr. Yvette Bushey, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3496 Nw Federal Hwy, Jensen Beach, FL 34957 Phone: 772-223-5665 Fax: 772-223-5646 | |
Craig S Willert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3496 Nw Federal Hwy, Ste D, Jensen Beach, FL 34957 Phone: 772-223-5612 Fax: 772-223-5689 |