| Dr Michael L Nowak, DO | |
|
350 W Country Club Rd, Ste# 203, Roswell, NM 88201-5205 | |
| (575) 624-4646 | |
| (575) 625-8498 |
| Full Name | Dr Michael L Nowak |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 350 W Country Club Rd, Roswell, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558360131 | NPI | - | NPPES |
| NPI & TIN# | Other | NM | BCBS OF NM |
| 000000007795 | Other | OH | ANTHEM BCBS |
| 0457349 | Medicaid | OH | |
| 310884319026 | Other | OH | CARESOURCE |
| 2380630 | Other | OH | CIGNA |
| 160029113 | Other | OH | RAILROAD MEDICARE PALMETT |
| 40004279 | Medicaid | NM | |
| 4341671 | Other | OH | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2619 (Ohio) | Secondary |
| 207V00000X | Obstetrics & Gynecology | A-1602-11 (New Mexico) | Primary |
| Entity Name | Roswell Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael L Nowak, DO 350 W Country Club Rd, Ste# 203, Roswell, NM 88201-5205 Ph: (575) 624-4646 | Dr Michael L Nowak, DO 350 W Country Club Rd, Ste# 203, Roswell, NM 88201-5205 Ph: (575) 624-4646 |
Ms. Jeanmarie K Salinas, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 305 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-6322 Fax: 575-622-6888 | |
Dr. Colin Berry, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 305 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-6322 Fax: 575-622-6888 | |
Jennifer Alice Corrie, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 350 W Country Club Rd, Suite 203, Roswell, NM 88201 Phone: 575-624-4646 Fax: 575-625-8498 | |
Dr. Eric Yancey Peterson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 305 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-6322 Fax: 575-622-6888 | |
Dr. Kevin David Lowe, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 305 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-6322 Fax: 575-622-6888 | |
Dr. Sharon K Breit, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 117 E 19th St, Roswell, NM 88201 Phone: 575-627-7000 |