Dr Robert Douglas Fowler, MD in Jackson, TN

Dr Robert Douglas Fowler, MD is a medicare enrolled "Otolaryngology" physician in Jackson, Tennessee. His current practice location is 145 Innovation Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 422-0213.

Dr Robert Douglas Fowler is licensed to practice in Tennessee (license number 63528) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770677502.

Contact Information

	Dr Robert Douglas Fowler, MD
	145 Innovation Dr, Jackson, TN 38305-3019
	(731) 422-0213
	(731) 422-0297

Map and Direction

Physician's Profile

Full Name	Dr Robert Douglas Fowler
Gender	Male
Speciality	Otolaryngology
Location	145 Innovation Dr, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770677502
Provider Enumeration Date: 10/03/2006
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7012012040
Enrollment ID: I20220120000826

Medical Identifiers

Medical identifiers for Dr Robert Douglas Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770677502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	63528 (Tennessee)	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. Dr Robert Douglas Fowler allows following entities to bill medicare on his behalf.

Entity Name	Jackson Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962

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. Dr Robert Douglas 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
Dr Robert Douglas Fowler, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 422-0213	Dr Robert Douglas Fowler, MD 145 Innovation Dr, Jackson, TN 38305-3019 Ph: (731) 422-0213

Reviews and Comments

Otolaryngology Doctors in Jackson, TN

William A Preston, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Forest Ave, Ste 300, Jackson, TN 38301 Phone: 731-422-0340 Fax: 731-422-0297
Dr. Karl E Studtmann, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0297
Dr. William Keith Wainscott, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 619 Skyline Dr, Jackson, TN 38301 Phone: 731-424-3682 Fax: 731-423-2714
Ronald H Kirkland, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 700 W Forest Ave, Ste 300, Jackson, TN 38301 Phone: 731-422-0340 Fax: 731-422-0297
Khwaja A Ahmed, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0297

Dr Robert Douglas Fowler, MD - Medicare Otolaryngology in Jackson, TN