Casey Rae Bowles, PA-C
Individual provider Active NPI Physician Assistant · Roanoke, VA
NPI 1962885020 · NPPES record last updated May 2, 2017
Key facts
- NPI
- 1962885020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110004997 (VA)
- Practice address
- 4615 Huntridge Rd
Roanoke, VA 24012-8510 - Phone
- (540) 977-0900
- Fax
- (540) 977-0550
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 42
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Eastern Virginia Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Rockbridge Community Hospital
Carilion Medical Center
Carilion Giles Community Hospital
Practice addresses (Care Compare)
1 Health Cir
Lexington, VA 24450-2448
Phone (540) 458-3300
101 Elm Ave
Roanoke, VA 24013-2222
Phone (540) 224-4380
101 Elm Ave SE
FL 3
Roanoke, VA 24013-2222
Phone (540) 224-6780
159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000
180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
Hospital & facility affiliations
- Carilion Home Care Services - Roanoke
- Enhabit Home Health (Roanoke)
- Carilion Home Care Services
- Carilion Medical Center
- Carilion Giles Community Hospital
- Carilion Franklin Memorial Hospital
- Carilion Stonewall Jackson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151012001980 | VA | Practitioner - Physician Assistant | 3577872613 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110004997 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients | |
| Carilion New River Valley Medical Center | Current |
Accepting new patients | |
| Carilion Medical Center | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients |
Locations
2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114
1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
1900 Electric Rd
Ste 200
Salem, VA 24153
Phone (540) 776-4704
1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506
Interoperability endpoints
- cbowles7538@direct.carilionclinic.org
- casey.bowles@hca6.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004997 | VA | Yes |
| Medical Physician Assistant | 363AM0700X | 0110004997 | VA | |
| Surgical Physician Assistant | 363AS0400X | 0110004997 | VA |
Addresses
Primary practice location
4615 Huntridge Rd
Roanoke, VA 24012-8510
Mailing address
4615 Huntridge Rd
Roanoke, VA 24012-8510
Phone (540) 977-0900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962885020 | Medicaid | VA |
Other providers in Roanoke, VA
- Katie Love Bower
- Sally Anne Bower
- Jacob Stuart Bowers
- Jennifer Bowers
- Tyler A Bowersock
- Emily Bowles
- Paul Elwood Bowles
- Bowman Chiropractic PLLC
- Benjamin Eric Bowman
- Celena Arlet Bowman
All providers in Roanoke, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.