| Jonathan S Lowrey, MD | |
|
2511 West 900 South, Huntingburg, IN 47542-9628 | |
| (812) 683-1500 | |
| (812) 683-1600 |
| Full Name | Jonathan S Lowrey |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 2511 West 900 South, Huntingburg, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013912997 | NPI | - | NPPES |
| 200003110 | Medicaid | IN | |
| P00358546 | Other | IN | RR MEDICARE |
| 000000501005 | Other | IN | BCBS - DEACONESS GATEWAY |
| 194556 | Other | HEALTHLINK # - DEACONESS | |
| 64879224 | Medicaid | KY | |
| 2###0#### | Medicaid | IL | |
| 000000185797 | Other | IN | BCBS - DEACONESS MARY ST |
| 5922739 | Other | AETNA # - DEACONESS | |
| 1065073 | Other | FIRST HEALTH# - DEACONESS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 26869 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 01039645A (Indiana) | Primary |
| Entity Name | Deaconess Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
| Entity Name | Apollo Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396179461 PECOS PAC ID: 3072741370 Enrollment ID: O20140113001443 |
| Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629475421 PECOS PAC ID: 6305161654 Enrollment ID: O20150210000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan S Lowrey, MD 2511 West 900 South, Huntingburg, IN 47542-9628 Ph: (812) 683-1500 | Jonathan S Lowrey, MD 2511 West 900 South, Huntingburg, IN 47542-9628 Ph: (812) 683-1500 |