Holley Aleece Fowler, in Jonesboro, AR - Medicare Nurse Practitioner

Holley Aleece Fowler, is a medicare enrolled "Nurse Practitioner - Family" in Jonesboro, Arkansas. Her current practice location is 225 E Jackson Ave, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 207-4100.

Holley Aleece Fowler is licensed to practice in Arkansas (license number A005398) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063911790.

Contact Information

	Holley Aleece Fowler,
	225 E Jackson Ave, Jonesboro, AR 72401-3119
	(870) 207-4100
	Not Available

Map and Direction

Provider's Profile

Full Name	Holley Aleece Fowler
Gender	Female
Speciality	Nurse Practitioner - Family
Location	225 E Jackson Ave, Jonesboro, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063911790
Provider Enumeration Date: 02/08/2018
Last Update Date: 02/08/2018

Medicare PECOS Information:

PECOS PAC ID: 6901169663
Enrollment ID: I20180410002197

Medical Identifiers

Medical identifiers for Holley Aleece Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063911790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005398 (Arkansas)	Primary

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. Holley Aleece Fowler allows following entities to bill medicare on her behalf.

Entity Name	Doctors Health Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982667895 PECOS PAC ID: 7315844586 Enrollment ID: O20040421001512

Entity Name	St Bernards Physician Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875

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. Holley Aleece 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
Holley Aleece Fowler, 225 E Jackson Ave, Jonesboro, AR 72401-3119 Ph: () -	Holley Aleece Fowler, 225 E Jackson Ave, Jonesboro, AR 72401-3119 Ph: (870) 207-4100

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, AR

Mrs. Renata Jane Vaughn, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630
Heather Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088
Katie J Hutton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Carson St, Jonesboro, AR 72401 Phone: 870-910-7726

Holley Aleece Fowler, - Medicare Nurse Practitioner in Jonesboro, AR