Dr Kenny Lane Bowman, DO | |
2710 N Stemmons Fwy (maxim Physician Resources), Suite 100, North Tower, Dallas, TX 75207-2210 | |
(888) 800-1853 | |
(214) 741-0701 |
Full Name | Dr Kenny Lane Bowman |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 2710 N Stemmons Fwy (maxim Physician Resources), Dallas, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740471960 | NPI | - | NPPES |
7100044960 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 03047 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 03047 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kentucky River Medical Center | Jackson, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Breathitt Emergency Group, Llc | 1759712904 | 8 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Entity Name | The Recovery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316332067 PECOS PAC ID: 7012285497 Enrollment ID: O20170608001733 |
Entity Name | Breathitt Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841825767 PECOS PAC ID: 1759712904 Enrollment ID: O20200504001352 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenny Lane Bowman, DO 253 Cedar Hills Dr, Pikeville, KY 41501-8700 Ph: (606) 432-2213 | Dr Kenny Lane Bowman, DO 2710 N Stemmons Fwy (maxim Physician Resources), Suite 100, North Tower, Dallas, TX 75207-2210 Ph: (888) 800-1853 |
Dr. Juan F Quiroz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4811a Columbia Ave, Dallas, TX 75226 Phone: 214-823-5590 Fax: 214-823-6638 | |
Dr. Michelle Dobbs, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6333 E Mockingbird Ln, Suite 126, Dallas, TX 75214 Phone: 214-826-6005 | |
Howard J Huntzinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9250 Amberton Pkwy, Dallas, TX 75243 Phone: 682-236-3656 | |
Robert J Dimeff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8081 Walnut Hill Ln, Dallas, TX 75231 Phone: 214-750-1207 Fax: 214-739-5029 | |
Pardeep K Shori, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7012 La Vista Dr, Dallas, TX 75214 Phone: 817-564-5761 | |
Mary Elizabeth Wilcox Smith, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2921 Fairmount St, Dallas, TX 75201 Phone: 214-742-9310 | |
Elizabeth Chapek, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 6760 Abrams Rd, Suite 203, Dallas, TX 75231 Phone: 214-341-8742 |