Tyra Fowler, in Garland, TX - Medicare Counselor Provider

Tyra Fowler, is a medicare enrolled "Counselor - Mental Health" provider in Garland, Texas. Her current practice location is 2705 Deer Creek Ct, Garland, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 898-1630.

Tyra Fowler is licensed to practice in Texas (license number 68725) 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 1275916694.

Contact Information

	Tyra Fowler,
	2705 Deer Creek Ct, Garland, TX 75040-3939
	(972) 898-1630
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyra Fowler
Gender	Female
Speciality	Counselor - Mental Health
Location	2705 Deer Creek Ct, Garland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275916694
Provider Enumeration Date: 07/02/2015
Last Update Date: 07/02/2015

Medicare PECOS Information:

PECOS PAC ID: 7517303217
Enrollment ID: I20240315000841

Medical Identifiers

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

Identifier	Type	State	Issuer
1275916694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	11623 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	68725 (Texas)	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. Tyra Fowler allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Medical Group, P.a
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20201113000093

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. Tyra 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
Tyra Fowler, 2705 Deer Creek Ct, Garland, TX 75040-3939 Ph: (972) 898-1630	Tyra Fowler, 2705 Deer Creek Ct, Garland, TX 75040-3939 Ph: (972) 898-1630

Reviews and Comments

Counselor in Garland, TX

Katerina Oskolkoff, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2906 Pegasus Dr, Garland, TX 75044 Phone: 940-241-0471
Dr. Lindy Machell Perkins, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 3506 Bobbie Ln, Garland, TX 75042 Phone: 972-494-0217
Katherine Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3256 Southern Dr Ste 461, Garland, TX 75043 Phone: 214-385-5445
Stephanie Gutierrez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Town Square Blvd Bldg 1a, Garland, TX 75040 Phone: 214-785-0147
Lisa Ellerman, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 Belt Line Rd, Garland, TX 75040 Phone: 972-961-7078
Kylie Ball, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3256 Southern Dr, Garland, TX 75043 Phone: 214-385-5445
Ashley Stevenson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3256 Southern Dr Ste 461, Garland, TX 75043 Phone: 214-385-5445

Tyra Fowler, - Medicare Counselor in Garland, TX