Lisa P Gowan, CNM - Medicare Advanced Practice Midwife in Dothan, AL

Lisa P Gowan, CNM is a medicare enrolled "Advanced Practice Midwife" in Dothan, Alabama. Her current practice location is 104 Medical Dr, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 671-9445.

Lisa P Gowan is licensed to practice in Alabama (license number 1-056034) 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 1265756696.

Contact Information

Lisa P Gowan, CNM
104 Medical Dr,
Dothan, AL 36303-6902
(334) 671-9445
(334) 671-0059



Provider's Profile

Full NameLisa P Gowan
GenderFemale
SpecialityAdvanced Practice Midwife
Location104 Medical Dr, Dothan, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265756696
  • Provider Enumeration Date: 03/14/2010
  • Last Update Date: 05/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5294868998
  • Enrollment ID: I20150112000306

Medical Identifiers

Medical identifiers for Lisa P Gowan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265756696NPI-NPPES
O1056034MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 1-056034 (Alabama)Primary
363LW0102XNurse Practitioner - Women's Health 1-056034 (Alabama)Secondary

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. Lisa P Gowan allows following entities to bill medicare on her behalf.
Entity NameObstetrics & Gynecology Of Dothan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114021409
PECOS PAC ID: 9436051877
Enrollment ID: O20040124000415

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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. Lisa P Gowan 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 AddressPractice Location Address
Lisa P Gowan, CNM
211 Johntown Rd,
Ozark, AL 36360-7517

Ph: (334) 237-4644
Lisa P Gowan, CNM
104 Medical Dr,
Dothan, AL 36303-6902

Ph: (334) 671-9445

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Advanced Practice Midwife Nurses in Dothan, AL

Mrs. Jordan Marie Miles, CNM, CPM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 256 Honeysuckle Rd Ste 10, Dothan, AL 36305
Phone: 850-326-6066    Fax: 806-482-1688
Bonita G Helms, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1806 Fairview Ave, Dothan, AL 36301
Phone: 334-677-5986    Fax: 334-677-4901
Linda S Karle, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1806 Fairview Ave, Dothan, AL 36301
Phone: 334-677-5986    Fax: 334-677-4901
Carole Elizabeth Heath, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1806 Fairview Ave, Dothan, AL 36301
Phone: 334-677-5986    Fax: 334-677-4901
Roxanne B Mcfarland, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1806 Fairview Ave, Dothan, AL 36301
Phone: 334-677-5986    Fax: 334-677-4901
Janet L Brodie, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1806 Fairview Ave, Dothan, AL 36301
Phone: 334-677-5986    Fax: 334-677-4901

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