Dustin Fowler, DO is a medicare enrolled "Allergy & Immunology - Allergy" physician in Waco, Texas. His current practice location is
221 Jewell Dr, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 753-1411.
Dustin Fowler is licensed to practice in Texas (license number S1399) 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 1508247024.
Physician's Profile
| Full Name | Dustin Fowler |
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| Gender | Male |
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| Speciality | Allergy & Immunology - Allergy |
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| Location | 221 Jewell Dr, Waco, Texas |
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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: 1508247024
- Provider Enumeration Date: 06/10/2015
- Last Update Date: 07/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577870591
- Enrollment ID: I20210819002664
Medical Identifiers
Medical identifiers for Dustin Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508247024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | LL37667 (South Carolina) | Secondary |
| 208000000X | Pediatrics | LL37667 (South Carolina) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | S1399 (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. Dustin Fowler allows following entities to bill medicare on his behalf.
| Entity Name | Allergy & Asthma Care Of Waco, Pa. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487847463
PECOS PAC ID: 9335299130
Enrollment ID: O20090617000392 |
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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. Dustin 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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Dustin Fowler, DO
221 Jewell Dr,
Waco, TX 76712-6630
Ph: (254) 753-1411 | Dustin Fowler, DO
221 Jewell Dr,
Waco, TX 76712-6630
Ph: (254) 753-1411 |
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