Todd A Fowler, MD - Medicare Family Practice in Johnson City, TN

Todd A Fowler, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Johnson City, Tennessee. He went to University Of Texas Medical School At San Antonio and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Champion Physical Therapy Llc Halls, Wellmont Medical Associates Inc and his current practice location is 2410 Susannah St, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 282-9011.

Todd A Fowler is licensed to practice in Tennessee (license number 24265) 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 1154386886.

Contact Information

Todd A Fowler, MD
2410 Susannah St,
Johnson City, TN 37601-1748
(423) 282-9011
(423) 282-0035

Map and Direction




Physician's Profile

Full NameTodd A Fowler
GenderMale
SpecialityFamily Practice
Experience35 Years
Location2410 Susannah St, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Todd A Fowler attended and graduated from University Of Texas Medical School At San Antonio in 1989
  NPI Data:
  • NPI Number: 1154386886
  • Provider Enumeration Date: 04/18/2006
  • Last Update Date: 12/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5092741835
  • Enrollment ID: I20100105000345

Medical Identifiers

Medical identifiers for Todd A Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154386886NPI-NPPES
3075096MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 24265 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Champion Physical Therapy Llc Halls1355416306228
Wellmont Medical Associates Inc8123291739426

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. Todd A Fowler allows following entities to bill medicare on his behalf.
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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. Todd A 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 AddressPractice Location Address
Todd A Fowler, MD
2410 Susannah St,
Johnson City, TN 37601-1748

Ph: (423) 282-9011
Todd A Fowler, MD
2410 Susannah St,
Johnson City, TN 37601-1748

Ph: (423) 282-9011

Reviews and Comments


Family Medicine Doctors in Johnson City, TN

Dr. Paula Renee Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604
Phone: 423-431-1810    Fax: 423-431-1811
David T Deroos, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 205 Summer Rose Ln, Johnson City, TN 37601
Phone: 704-658-8727    
Dr. Clinton Steve Webb, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 401 E Main St, Johnson City, TN 37601
Phone: 423-929-2584    Fax: 423-722-2060
Dr. Nazia Iqbal Shehzad, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Main St, Johnson City, TN 37601
Phone: 423-929-2584    Fax: 423-722-2060
Chelsy L Elkins, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1009 Novus Dr Ste 1a, Johnson City, TN 37604
Phone: 423-282-2516    
Janice B. Schweitzer, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604
Phone: 423-282-0751    Fax: 423-282-1577
Jim L Wilson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 917 W Walnut St, Johnson City, TN 37604
Phone: 423-439-6464    Fax: 423-439-7118

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.