Dodi L Bowen (NPI# 1811147036, PAC ID# 0648327502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811147036 |
| PAC ID by PECOS | 0648327502 |
| Professional Enrollment ID | I20130805000598 |
| Full Name | Dodi L Bowen |
| Organization Legal Name | LIFETREE MEDICAL SERVICES LLC |
| Address |
859 Days Dr Sutton WV 26601-6255 |
| Phone Number | 3047652861 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426314667 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511308 | BRAXTON COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 859 Days Dr, Sutton, WV 26601-6255 | 3047652861 | LIFETREE MEDICAL SERVICES LLC |
| Organization Legal Name | LIFETREE MEDICAL SERVICES LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Lynn Derossett | Nurse Practitioner | Lifetree Medical Services LLC | 30 Hidden Brook Way, Culloden, WV 25510-9190 |
| Teresa Underwood | Nurse Practitioner | Lifetree Medical Services LLC | 150 Venus Dr, Gary, WV 24836 |
| Susan Rae Rash | Nurse Practitioner | Lifetree Medical Services LLC | 1115 Maplewood Ave, Lewisburg, WV 24901-9728 |
| Whitney A Crook | Nurse Practitioner | Lifetree Medical Services LLC | 1275 Southview Dr, Bluefield, WV 24701-4347 |
| Karie Rabagia | Nurse Practitioner | Lifetree Medical Services LLC | 1081 Maplewood Dr, Bridgeport, WV 26330-9848 |
| Julie Carol Furrow | Nurse Practitioner | Lifetree Medical Services LLC | Rr 4 Box, Suite 20, Cameron, WV 26033-9520 |
| Sherri D Arthur | Nurse Practitioner | Lifetree Medical Services LLC | 100 Hresan Blvd, Fayetteville, WV 25840-1333 |
| Street Address |
859 DAYS DR |
| City | SUTTON |
| State | WV |
| Zip | 26601-6255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charity Delane Kniceley Woods | Nurse Practitioner | 404 Main St, Sutton, WV 26601-1323 | |
| Shirley J Simmons | Physician Assistant | Community Care of West Virginia, Inc. | 266 Skidmore Ln, Sutton, WV 26601-9271 |
| Christina Booda Gillenwater | Family Medicine | Community Care of West Virginia, Inc. | 266 Skidmore Ln, Sutton, WV 26601-9271 |
| Christopher E Carter | Physician Assistant | Community Care of West Virginia Inc | 266 Skidmore Ln, Sutton, WV 26601-9271 |
| Stacy Curry Miller | Physician Assistant | Community Care of West Virginia, Inc. | 273 Skidmore Ln, Sutton, WV 26601-9272 |
| Angela Gfayle Carter | Nurse Practitioner | Community Care of West Virginia, Inc. | 273 Skidmore Ln, Sutton, WV 26601-9272 |
| Brandy Elizabeth Chandler | Nurse Practitioner | Community Care of West Virginia Inc | 273 Skidmore Ln, Sutton, WV 26601-9272 |
| Cynthia Robin Chapman | Physician Assistant | Community Care of West Virginia Inc | 273 Skidmore Ln, Sutton, WV 26601-9272 |
| City | SUTTON |
| Zip Code | 26601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SUTTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dodi L Bowen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.