Bethany Ilene Bowen, FNP | |
1418 Cross St Ste 250, Shiloh, IL 62269-2965 | |
(618) 236-8000 | |
Not Available |
Full Name | Bethany Ilene Bowen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1418 Cross St Ste 250, Shiloh, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609293372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209011356 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209011356 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Heights Medical Group Sc | 6800784083 | 346 |
Entity Name | Associated Physicians Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811940893 PECOS PAC ID: 5698674802 Enrollment ID: O20040107000499 |
Entity Name | Fairview Heights Medical Group Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650 |
Mailing Address | Practice Location Address |
---|---|
Bethany Ilene Bowen, FNP 1418 Cross St Ste 250, Shiloh, IL 62269-2965 Ph: (618) 236-8000 | Bethany Ilene Bowen, FNP 1418 Cross St Ste 250, Shiloh, IL 62269-2965 Ph: (618) 236-8000 |
Danielle Lynn Frueh, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Fortune Blvd, Shiloh, IL 62269 Phone: 618-997-5266 | |
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Kristy Wienstroer, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1191 Fortune Blvd, Shiloh, IL 62269 Phone: 618-206-6101 | |
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