Mrs Susan Marie Daugharty Fowler, MD is a medicare enrolled "Internal Medicine" physician in Coeur Dalene, Idaho. She went to University Of Washington School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Kootenai Health Inc and her current practice location is
2207 Ironwood Pl, Coeur Dalene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 667-1200.
Mrs Susan Marie Daugharty Fowler is licensed to practice in Idaho (license number M5531) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073648945.
Physician's Profile
Full Name | Mrs Susan Marie Daugharty Fowler |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 38 Years |
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Location | 2207 Ironwood Pl, Coeur Dalene, Idaho |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Susan Marie Daugharty Fowler attended and graduated from University Of Washington School Of Medicine in 1986
NPI Data:
- NPI Number: 1073648945
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 10/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 4385710367
- Enrollment ID: I20080828000315
Medical Identifiers
Medical identifiers for Mrs Susan Marie Daugharty Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073648945 | NPI | - | NPPES |
002391000 | Medicaid | ID | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | M5531 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kootenai Health Inc | 1355792276 | 330 |
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. Mrs Susan Marie Daugharty Fowler allows following entities to bill medicare on her behalf.
Entity Name | Kootenai Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
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Entity Name | Kootenai Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
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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. Mrs Susan Marie Daugharty 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 |
Mrs Susan Marie Daugharty Fowler, MD 2207 Ironwood Pl, Coeur Dalene, ID 83814 Ph: (208) 667-1200 | Mrs Susan Marie Daugharty Fowler, MD 2207 Ironwood Pl, Coeur Dalene, ID 83814 Ph: (208) 667-1200 |
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