| Kendra D Bowen, PAC | |
|
1441 W Broadway, Centralia, IL 62801-5613 | |
| (618) 532-9050 | |
| Not Available |
| Full Name | Kendra D Bowen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 1441 W Broadway, Centralia, 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 |
|---|---|---|---|
| 1457318438 | NPI | - | NPPES |
| P00469189 | Other | IL | RR MEDICARE PTAN |
| 208959 | Other | IL | MED GRP # |
| CE9335 | Other | IL | RR GROUP # |
| 207988 | Other | IL | MED GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 010234 (New York) | Secondary |
| 363A00000X | Physician Assistant | 085003158 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Health-illinois | Mount vernon, IL | Home health agency |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 100 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra D Bowen, PAC 1441 W Broadway, Centralia, IL 62801-5613 Ph: (618) 532-9050 | Kendra D Bowen, PAC 1441 W Broadway, Centralia, IL 62801-5613 Ph: (618) 532-9050 |
Karen Diane Hummel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 | |
Rex Stombaugh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1441 W Broadway, Centralia, IL 62801 Phone: 618-532-9050 | |
Carolyn K Mcmurphy-quick, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 204 E 3rd St, Centralia, IL 62801 Phone: 618-244-4800 Fax: 618-244-4804 | |
Mr. William Edward Buckett, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1054 Martin Luther King Dr, Ste 124, Centralia, IL 62801 Phone: 618-533-8700 Fax: 618-533-8701 | |
Herbert James Huston, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 404 N Pleasant Ave, Centralia, IL 62801 Phone: 618-339-9872 Fax: 618-533-6816 |