Mr Mark T Bowen, NP | |
6510 Seawright Dr Ste 108, Savannah, GA 31406 | |
(912) 350-5940 | |
(912) 350-5991 |
Full Name | Mr Mark T Bowen |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 6510 Seawright Dr Ste 108, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548232473 | NPI | - | NPPES |
563072249G | Medicaid | GA | |
582162071-028 | Other | HUMANA/TRICARE SOUTH | |
563072249A | Medicaid | GA | |
563072249B | Medicaid | GA | |
P00358208 | Other | GA | RAILROAD MEDICARE |
NP1303 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN084864 (Georgia) | Primary |
Entity Name | Southcoast Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467451922 PECOS PAC ID: 9032013271 Enrollment ID: O20040109000192 |
Entity Name | Mppg Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark T Bowen, NP 6510 Seawright Dr Ste 108, Savannah, GA 31406-2752 Ph: (912) 350-5940 | Mr Mark T Bowen, NP 6510 Seawright Dr Ste 108, Savannah, GA 31406 Ph: (912) 350-5940 |
Glenda Laine Eloge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5353 Reynolds St, Ste 300, Savannah, GA 31405 Phone: 912-355-6005 Fax: 912-355-5643 | |
Ms. Deborah Evelyn Kemp, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 Drayton St, Savannah, GA 31401 Phone: 912-443-9409 Fax: 912-443-1843 | |
Deanna M Wildes, RN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Avenue, Suite 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-1414 | |
Abegail Delez Xiang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Abercorn St, Savannah, GA 31405 Phone: 912-352-8700 Fax: 912-650-6805 | |
Jackie M Kehrli, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 202, Savannah, GA 31404 Phone: 912-350-7412 Fax: 912-350-7297 | |
Caroline Shealy Sauers, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6602 Waters Ave Bldg C, Savannah, GA 31406 Phone: 912-354-7676 Fax: 912-354-6040 | |
Stacy Eagle, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6602 Waters Ave, Savannah, GA 31406 Phone: 912-354-7676 |