Dr Larry Donnell Bowler, MD is a medicare enrolled "Emergency Medicine" physician in Pauls Valley, Oklahoma. His current practice location is
100 Valley Dr, Pauls Valley, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 238-5501.
Dr Larry Donnell Bowler is licensed to practice in Oklahoma (license number 13178) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316987522.
Physician's Profile
Full Name | Dr Larry Donnell Bowler |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 100 Valley Dr, Pauls Valley, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316987522
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941252225
- Enrollment ID: I20050419001477
Medical Identifiers
Medical identifiers for Dr Larry Donnell Bowler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316987522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 13178 (Oklahoma) | 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. Dr Larry Donnell Bowler allows following entities to bill medicare on his behalf.
Entity Name | Creek Nation Hospital & Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
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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. Dr Larry Donnell Bowler 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 |
Dr Larry Donnell Bowler, MD 2324 W Tecumseh St, Tulsa, OK 74127-2214 Ph: (918) 587-2923 | Dr Larry Donnell Bowler, MD 100 Valley Dr, Pauls Valley, OK 73075-6613 Ph: (405) 238-5501 |
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