Shami Lynn Fowler, FNP-C is a medicare enrolled "Family Medicine" physician in Wright City, Oklahoma. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
207 W 10th St, Wright City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 981-2104.
Shami Lynn Fowler is licensed to practice in Oklahoma (license number 121401) 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 1104441849.
Physician's Profile
| Full Name | Shami Lynn Fowler |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 207 W 10th St, Wright City, Oklahoma |
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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. |
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Medical Education and Training:
- Shami Lynn Fowler graduated from medical school in 2020
NPI Data:
- NPI Number: 1104441849
- Provider Enumeration Date: 06/09/2020
- Last Update Date: 06/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082034947
- Enrollment ID: I20201014001088
Medical Identifiers
Medical identifiers for Shami Lynn Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104441849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 121401 (Oklahoma) | Primary |
Medical Facilities Affiliation
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. Shami Lynn Fowler allows following entities to bill medicare on her behalf.
| Entity Name | Lane Family Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942810056
PECOS PAC ID: 3173943131
Enrollment ID: O20201014000871 |
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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. Shami Lynn 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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Shami Lynn Fowler, FNP-C
Po Box 650,
Wright City, OK 74766-0650
Ph: (580) 981-2104 | Shami Lynn Fowler, FNP-C
207 W 10th St,
Wright City, OK 74766
Ph: (580) 981-2104 |
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