Terry A Fowler, LMFT, RD is a medicare enrolled "Marriage & Family Therapist" provider in Riverside, California. Her current practice location is
5225 Canyon Crest Dr Ste 103, Riverside, California. You can reach out to her office (for appointments etc.) via phone at
(909) 319-7147.
Terry A Fowler is licensed to practice in California (license number 105801) 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 1659686905.
Healthcare Provider's Profile
Full Name | Terry A Fowler |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 5225 Canyon Crest Dr Ste 103, Riverside, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659686905
- Provider Enumeration Date: 08/11/2010
- Last Update Date: 01/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799221933
- Enrollment ID: I20240723004487
Medical Identifiers
Medical identifiers for Terry A Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659686905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 001010567 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 105801 (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. Terry A Fowler allows following entities to bill medicare on her behalf.
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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. Terry A 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 |
Terry A Fowler, LMFT, RD 5225 Canyon Crest Dr Ste 103, Riverside, CA 92507-6353 Ph: (909) 319-7147 | Terry A Fowler, LMFT, RD 5225 Canyon Crest Dr Ste 103, Riverside, CA 92507-6353 Ph: (909) 319-7147 |
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