Shane Bowman, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Norwalk, Connecticut. His current practice location is
34 Maple St, Norwalk, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 852-2000.
Shane Bowman is licensed to practice in Connecticut (license number 77626) 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 1427645886.
Physician's Profile
Full Name | Shane Bowman |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 34 Maple St, Norwalk, Connecticut |
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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: 1427645886
- Provider Enumeration Date: 12/30/2020
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012374945
- Enrollment ID: I20230607002200
Medical Identifiers
Medical identifiers for Shane Bowman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427645886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 77626 (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 77626 (Connecticut) | Primary |
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. Shane Bowman 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 |
Shane Bowman, 34 Maple St, Norwalk, CT 06850-3894 Ph: (203) 852-2000 | Shane Bowman, 34 Maple St, Norwalk, CT 06850-3894 Ph: (203) 852-2000 |
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