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Reid Christian Bowers

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2801 W Kk River Pkwy, Milwaukee, WI 53215-3669

PECOS Enrollment

This provider is enrolled in PECOS as REID BOWERS.

Based on the most recent information from CMS, provider Reid Christian Bowers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1710001029
Provider Type
Individual
Full Name
Bowers, Reid Christian
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
3/19/2007
Last Updated
11/24/2021

Contact Information

Practice Location

2801 W Kk River Pkwy, Milwaukee, WI 53215-3669

(414) 649-3530

Unlisted Fax

Mailing Location

2801 W Kk River Pkwy, Milwaukee, WI 53215-3669

(414) 649-3530

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2106-023 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 100002733	Description Medicaid	Issuer Unlisted Wisconsin

Reid Christian Bowers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mason, Emily

Lindblad, Mary A

Kamelle, Christine B

Zimmet, Kristin L.

Mertens, Alix

Vincent, Cara

Hartmann, Emma Rose

Cook, Jenna

Quinn, Riley

Rongstad, Lindsey