Bowling Green Dermatology & Skin Cancer Specialists PLLC
Dermatology practice in Bowling Green, KY
Registered providerLicense # listed (KY)Medicare-enrolled groupAccepts Medicare assignment
Public-record details
- Address
- 1106 Fairway Street, Bowling Green, KY 42103
- Phone
- (615) 672-5953
- Listed under
- Practices and organizations
- NPI
- 1609047083
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- License number on NPI record
- 41690 (KY)
- Authorized official
- John Cowan, MD, Owner
- NPI first issued
- Mar 13, 2008
- Years since NPI first issued
- 18 years (since 2008)
- License state on NPI record
- KY
- NPI record last updated
- Sep 30, 2008
- Medicare group enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians as Bowling Green Dermatology and Skin Cancer Specialists PLLC
- Clinicians in the Medicare group (all specialties, CMS)
- 2
- Dermatology clinicians in the group at this ZIP (CMS)
- 1
- Group Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
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