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: Medicare Enrolled 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. Ankur Agrawal, 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 | |
Dr. Steven Craig North, 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 |