Glen Bowman, MD | |
350 W Thomas Rd, Attn: Bni Surgical Suite, Phoenix, AZ 85013 | |
(602) 406-3541 | |
Not Available |
Full Name | Glen Bowman |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 350 W Thomas Rd, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922110238 | NPI | - | NPPES |
TPRA09326 | Other | UT | MOLINA |
2090168 | Other | UT | UNITED HEALTHCARE |
107028042101 | Other | UT | IHC |
77515 | Other | UT | PEHP |
806868300 | Medicaid | ID | |
851001 | Other | UT | DESERET MUTUAL |
858409 | Medicaid | AZ | |
100503208 | Medicaid | NV | |
119647200 | Medicaid | WY | |
1502954 | Other | UT | UMWA |
QM0000075886 | Other | UT | ALTIUS |
835388 | Other | UT | HEALTHY U |
870545614BOW | Other | UT | EDUCATORS MUTUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G185046 (California) | Secondary |
207L00000X | Anesthesiology | 319122-1205 (Utah) | Secondary |
207L00000X | Anesthesiology | 73631 (Arizona) | Primary |
Entity Name | Mountain West Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
Mailing Address | Practice Location Address |
---|---|
Glen Bowman, MD 240 W Thomas Rd # 301, Phoenix, AZ 85013-4407 Ph: (602) 406-6238 | Glen Bowman, MD 350 W Thomas Rd, Attn: Bni Surgical Suite, Phoenix, AZ 85013 Ph: (602) 406-3541 |
Dr. Ahmar Husain, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 | |
Gerald D. Peiser, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4441 E Mcdowell Rd, # 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
Asha Thakur, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1715 W Northern Ave, Suite 108, Phoenix, AZ 85021 Phone: 602-395-0718 Fax: 602-277-8146 | |
Joshua Aaron Bloomstone, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
Jeffrey Parker Morray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2901 North Central Ave, Ste 500, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8919 | |
Dr. Eric L Pedicini, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 N Central Ave, Suite1600, Phoenix, AZ 85004 Phone: 602-262-8900 Fax: 602-262-8890 | |
Laura Kareen Griffin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-4660 Fax: 602-933-8945 |