Elena Claire Fowler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Francisco, California. Her current practice location is
995 Potrero Ave # W82, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(628) 206-5397.
Elena Claire Fowler is licensed to practice in California (license number 76514) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073955829.
Healthcare Provider's Profile
| Full Name | Elena Claire Fowler |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 995 Potrero Ave # W82, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073955829
- Provider Enumeration Date: 07/22/2013
- Last Update Date: 10/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739535931
- Enrollment ID: I20231024003358
Medical Identifiers
Medical identifiers for Elena Claire Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073955829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 76514 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elena Claire Fowler allows following entities to bill medicare on her behalf.
| Entity Name | University Of California San Francisco |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104992817
PECOS PAC ID: 3678547304
Enrollment ID: O20090403000024 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elena Claire Fowler is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Elena Claire Fowler, LCSW
1001 Potrero Ave Ste 7m8,
San Francisco, CA 94110-3518
Ph: (628) 206-5397 | Elena Claire Fowler, LCSW
995 Potrero Ave # W82,
San Francisco, CA 94110-2859
Ph: (628) 206-5397 |
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