Patrick T Fowler, MD | |
2626 Edith Ave Ste C, Redding, CA 96001-3056 | |
(530) 241-3316 | |
(530) 241-6319 |
Full Name | Patrick T Fowler |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 32 Years |
Location | 2626 Edith Ave Ste C, Redding, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477628006 | NPI | - | NPPES |
340016697 | Other | CA | RAILROAD MEDICARE |
G78482 | Other | CA | MEDICAL LICENSE |
00G784820 | Medicaid | CA | |
05D0617976 | Other | CA | CLIA ID |
ZZZ78528Z | Medicaid | CA | |
CP5241 | Other | CA | RAILROAD MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | G78482 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center Redding | Redding, CA | Hospital |
St Elizabeth Community Hospital | Red bluff, CA | Hospital |
Trinity Hospital | Weaverville, CA | Hospital |
Mayers Memorial Hospital | Fall river mills, CA | Hospital |
Shasta Regional Medical Center | Redding, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Redding Urologic Associates A Medical Corp | 1052385622 | 4 |
Entity Name | Redding Urologic Associates A Medical Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952402190 PECOS PAC ID: 1052385622 Enrollment ID: O20040820000695 |
Mailing Address | Practice Location Address |
---|---|
Patrick T Fowler, MD 2624 Edith Ave, Redding, CA 96001-3043 Ph: (530) 241-3316 | Patrick T Fowler, MD 2626 Edith Ave Ste C, Redding, CA 96001-3056 Ph: (530) 241-3316 |
Susan Dian Goldberg, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2888 Eureka Way, Suite 201, Redding, CA 96001 Phone: 530-243-3803 Fax: 530-243-3821 | |
Paul Trygve Stratte, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2624 Edith Ave, Redding, CA 96001 Phone: 530-241-3316 Fax: 530-241-6319 | |
Ziad A Niazi, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1760 Gold St, Ste 500, Redding, CA 96001 Phone: 530-244-9332 Fax: 530-244-0859 | |
Victoriano Romero, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2626 Edith Ave Ste C, Redding, CA 96001 Phone: 530-241-3316 Fax: 530-241-6319 | |
Christopher Stockdale, Urology Medicare: Accepting Medicare Assignments Practice Location: 2626 Edith Ave Ste C, Redding, CA 96001 Phone: 530-241-3316 Fax: 530-241-6319 |