Latisha M Fowler, PHD in Newark, OH - Medicare Clinical Psychologist Provider

Latisha M Fowler, PHD is a medicare enrolled "Counselor - Mental Health" provider in Newark, Ohio. She graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Columbus Womens Wellness Llc and her current practice location is 68 W Church St Ste 318, Newark, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 281-1777.

Latisha M Fowler is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1275850760.

Contact Information

	Latisha M Fowler, PHD
	68 W Church St Ste 318, Newark, OH 43055-5050
	(740) 281-1777
	(740) 281-1778

Map and Direction

Healthcare Provider's Profile

Full Name	Latisha M Fowler
Gender	Female
Speciality	Clinical Psychologist
Experience	10 Years
Location	68 W Church St Ste 318, Newark, Ohio
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Latisha M Fowler graduated from medical school in 2014

NPI Data:

NPI Number: 1275850760
Provider Enumeration Date: 04/23/2010
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1557646775
Enrollment ID: I20170330000150

Medical Identifiers

Medical identifiers for Latisha M Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275850760	NPI	-	NPPES
0211419	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Columbus Womens Wellness Llc	1254608433	17

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. Latisha M Fowler allows following entities to bill medicare on her behalf.

Entity Name	Mid-ohio Psychological Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699749457 PECOS PAC ID: 3577585819 Enrollment ID: O20160509001255

Entity Name	Wellqor Psychological Services Of California, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093173742 PECOS PAC ID: 6103122171 Enrollment ID: O20170324000526

Entity Name	Columbus Womens Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346774742 PECOS PAC ID: 1254608433 Enrollment ID: O20170517003002

Entity Name	Wellqor Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063920841 PECOS PAC ID: 1658633292 Enrollment ID: O20180329001808

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. Latisha M 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
Latisha M Fowler, PHD 3850 Wesley Chapel Rd, Zanesville, OH 43701-7158 Ph: (740) 221-5085	Latisha M Fowler, PHD 68 W Church St Ste 318, Newark, OH 43055-5050 Ph: (740) 281-1777

Reviews and Comments

Counselor in Newark, OH

Makayla K Martz, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Grant St, Newark, OH 43055 Phone: 740-349-7511
Mandi Workman, LPC Counselor Medicare: Medicare Enrolled Practice Location: 65 Messimer Dr, Newark, OH 43055 Phone: 740-522-8477
Cheryl A Smith, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1445 W Main St, Newark, OH 43055 Phone: 513-834-7063
Ms. Jessica Ann Mitchell, MA, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 W Church St, Newark, OH 43055 Phone: 740-281-1777 Fax: 740-281-1778
Mrs. Karen Mchugh-fornadel, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Sandalwood Dr, Newark, OH 43055 Phone: 614-378-0377
Mr. James Takacs, LICDC-CS Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 E Stevens St, Newark, OH 43055 Phone: 740-366-7303 Fax: 740-366-7305
Mr. Donald Eric Lee, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 E Stevens St, Newark, OH 43055 Phone: 740-366-7303 Fax: 740-366-7305

Latisha M Fowler, PHD - Medicare Counselor in Newark, OH