Mrs Angela H Sullivan-bowman, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Ft. Oglethorpe, Georgia. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cogent Healthcare Of Georgia Pc and her current practice location is
2403 Battlefield Parkway, Ft. Oglethorpe, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 866-7700.
Mrs Angela H Sullivan-bowman is licensed to practice in Georgia (license number GAA-NP000772) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063405553.
Provider's Profile
| Full Name | Mrs Angela H Sullivan-bowman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 21 Years |
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| Location | 2403 Battlefield Parkway, Ft. Oglethorpe, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Angela H Sullivan-bowman graduated from nursing school in 2003
NPI Data:
- NPI Number: 1063405553
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608776927
- Enrollment ID: I20220705001752
Medical Identifiers
Medical identifiers for Mrs Angela H Sullivan-bowman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063405553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 6046 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | GAA-NP000772 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cogent Healthcare Of Georgia Pc | 2961483607 | 231 |
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. Mrs Angela H Sullivan-bowman allows following entities to bill medicare on her behalf.
| Entity Name | Cogent Healthcare Of Georgia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609827823
PECOS PAC ID: 2961483607
Enrollment ID: O20040527000856 |
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| Entity Name | Renuven Health Partners Of Georgia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871196519
PECOS PAC ID: 5890107171
Enrollment ID: O20201210000229 |
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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. Mrs Angela H Sullivan-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 |
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Mrs Angela H Sullivan-bowman, NP-C
2717 East Oakland Avenue,
Johnson City, TN 37601-1843
Ph: (423) 926-2358 | Mrs Angela H Sullivan-bowman, NP-C
2403 Battlefield Parkway,
Ft. Oglethorpe, GA 30742
Ph: (706) 866-7700 |
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