| Dr John Theodore Bowman, MD | |
|
1 Ridgewood Dr, Bangor, ME 04401-2652 | |
| (207) 945-6200 | |
| (207) 990-3015 |
| Full Name | Dr John Theodore Bowman |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1 Ridgewood Dr, Bangor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396731006 | NPI | - | NPPES |
| 11501881 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | E-12105 (Arkansas) | Secondary |
| 207W00000X | Ophthalmology | EL-05-010 (Maine) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Theodore Bowman, MD 1 Ridgewood Dr, Bangor, ME 04401-2652 Ph: (207) 945-6200 | Dr John Theodore Bowman, MD 1 Ridgewood Dr, Bangor, ME 04401-2652 Ph: (207) 945-6200 |
Dr. Deborah S Hoffert, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 700 Mount Hope Ave Ste 470, Evergreen Woods, Bangor, ME 04401 Phone: 207-945-4474 Fax: 207-941-5913 | |
Theodore Curtis, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 885 Union St, Suite 120/130, Bangor, ME 04401 Phone: 207-973-8876 Fax: 207-973-6058 | |
Dr. Robert J Takach, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 12 Stillwater Ave, Bangor, ME 04401 Phone: 207-945-4474 | |
Paul Rush Moulton, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 5 Grove St, Bangor, ME 04401 Phone: 207-945-3619 | |
Garth Allen Wilbanks, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 900 Hammond St # A, Bangor, ME 04401 Phone: 207-947-6743 Fax: 207-945-4397 | |
Cynthia Amanda Self, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 900 Hammond St # A, Bangor, ME 04401 Phone: 207-947-6743 Fax: 207-945-4397 | |
Anthony S Ekong, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 336 Mount Hope Ave Ste 1, Bangor, ME 04401 Phone: 207-573-1509 Fax: 207-573-1750 |