5440 CLARE RD
SHAWNEE, KS 66226-2811 US PECOS Enrolled
Scott Edward Bowlin
Family Medicine Physician (Geriatric)
- SHAWNEE, KS
- Phone: (913)-422-3861
- Last Updated 4/29/2008
Overview
Scott Edward Bowlin is a Family Medicine Physician (Geriatric) in the SHAWNEE area and has over 36 years of experience. Scott Edward Bowlin primary office location is at 5440 CLARE RD and new patients are welcome to contact this healthcare provider for an appointment. He attended Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated 1988
Scott Edward Bowlin is affiliated with four hospitals in the SHAWNEE area, including . The NPI number is 1992780852 and the information was updated approximately 16 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 22870 | KS |
| R5P18 | MO |
| Board Certifications |
|---|
| Family Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| RAILRD MEDICARE-TRAVELERS | 080069169 | MO |
| RLRD MEDICARE-TRAVELER'S | 080069169 | KS |
| MEDICAID | 242097806 | MO |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician (Geriatric) - Taxonomy Code 207QG0300X | KS | Y |
| Family Medicine Physician (Geriatric) - Taxonomy Code 207QG0300X | MO | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050117000409 |
| PECOS Individual PAC ID: | 8921057993 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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