Michaela Dawn Bowles, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Molalla, Oregon. Her current practice location is
110 Center Ave, Molalla, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 405-3777.
Michaela Dawn Bowles is licensed to practice in Oregon (license number 10014459) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841077211.
Provider's Profile
| Full Name | Michaela Dawn Bowles |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 110 Center Ave, Molalla, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841077211
- Provider Enumeration Date: 09/11/2023
- Last Update Date: 02/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729435045
- Enrollment ID: I20231108002036
Medical Identifiers
Medical identifiers for Michaela Dawn Bowles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841077211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 10014459 (Oregon) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michaela Dawn Bowles allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health & Services Oregon |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652 |
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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. Michaela Dawn Bowles 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 |
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Michaela Dawn Bowles, FNP-BC
Po Box 3158,
Portland, OR 97208-3158
Ph: (503) 215-6494 | Michaela Dawn Bowles, FNP-BC
110 Center Ave,
Molalla, OR 97038-8134
Ph: (503) 405-3777 |
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