Jantzen Sean Fowler, MD in Jacksonville, FL - Medicare Internal Medicine

Jantzen Sean Fowler, MD is a medicare enrolled "Internal Medicine" physician in Jacksonville, Florida. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Physical Medicine Specialists, Inc and his current practice location is 6484 Fort Caroline Rd, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 744-7300.

Jantzen Sean Fowler is licensed to practice in Florida (license number ME104865) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942455167.

Contact Information

	Jantzen Sean Fowler, MD
	6484 Fort Caroline Rd, Jacksonville, FL 32277-2042
	(904) 744-7300
	(904) 722-4271

Map and Direction

Physician's Profile

Full Name	Jantzen Sean Fowler
Gender	Male
Speciality	Internal Medicine
Experience	19 Years
Location	6484 Fort Caroline Rd, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jantzen Sean Fowler graduated from medical school in 2005

NPI Data:

NPI Number: 1942455167
Provider Enumeration Date: 12/02/2008
Last Update Date: 05/06/2014

Medicare PECOS Information:

PECOS PAC ID: 3870646664
Enrollment ID: I20090727000323

Medical Identifiers

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

Identifier	Type	State	Issuer
1942455167	NPI	-	NPPES
K1951A	Other	FL	BPC GROUP PTAN
P00804076	Other	FL	MEDICARE RR
350832487A	Medicaid	GA
0012196-00	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME104865 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physical Medicine Specialists, Inc	1658335328	60

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. Jantzen Sean Fowler allows following entities to bill medicare on his behalf.

Entity Name	Physical Medicine Specialists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952343261 PECOS PAC ID: 1658335328 Enrollment ID: O20041113000028

Entity Name	Hni Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366735169 PECOS PAC ID: 6406028810 Enrollment ID: O20111007000131

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. Jantzen Sean 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
Jantzen Sean Fowler, MD 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 Ph: (904) 744-7300	Jantzen Sean Fowler, MD 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 Ph: (904) 744-7300

Reviews and Comments

Internal Medicine Doctors in Jacksonville, FL

Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Jantzen Sean Fowler, MD - Medicare Internal Medicine in Jacksonville, FL