Carolyn Fowler, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Norman Park, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Norman Park Family Medicine Clinic and her current practice location is
139 E Broad, Norman Park, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 769-3500.
Carolyn Fowler is licensed to practice in Georgia (license number RN170964) 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 1780092684.
Provider's Profile
| Full Name | Carolyn Fowler |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 139 E Broad, Norman Park, Georgia |
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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:
- Carolyn Fowler graduated from nursing school in 2014
NPI Data:
- NPI Number: 1780092684
- Provider Enumeration Date: 07/24/2014
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577782036
- Enrollment ID: I20140915002087
Medical Identifiers
Medical identifiers for Carolyn Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780092684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN170964 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Norman Park Family Medicine Clinic | 4082833546 | 2 |
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. Carolyn Fowler allows following entities to bill medicare on her behalf.
| Entity Name | Norman Park Family Medicine Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518398049
PECOS PAC ID: 4082833546
Enrollment ID: O20140915001944 |
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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. Carolyn 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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Carolyn Fowler, FNP-C
Po Box 2876,
Moultrie, GA 31776-2876
Ph: (229) 769-3500 | Carolyn Fowler, FNP-C
139 E Broad,
Norman Park, GA 31771-5085
Ph: (229) 769-3500 |
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