DAVID M. MOWERY PA
NPI 1255577474
Physician Assistant - Medical in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since December 17, 2008PECOS EnrolledAccepts Medicare Assignment

3901 BEAUBIEN ST, 2ND FLOOR CARL'S BLDG, DETROIT, MI 48201(313) 745-5541(313) 993-2948 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About David M. Mowery Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID M. MOWERY PA (NPI 1255577474) is an individual medical provider in Detroit, Michigan, licensed in Michigan (5601005421) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1255577474

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameDAVID M. MOWERYCredential: PA

Location Address3901 BEAUBIEN ST, 2ND FLOOR CARL'S BLDGDetroit, MI 48201-2119

Mailing Address4201 Saint Antoine St, Uhc - 5d Mailbox #226Detroit, MI 48201-2153 · (313) 745-4405 · Fax (313) 966-0665

Phone(313) 745-5541

Fax(313) 993-2948

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateDecember 17, 2008

Last NPPES UpdateNovember 12, 2015

✔ NPI 1255577474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601005421

3901 BEAUBIEN ST, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David M. Mowery Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729143672

PECOS Enrollment IDI20090210000515

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.