Malli Fowler, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Cary, North Carolina. Her current practice location is
110 Canberra Ct, Cary, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 724-7139.
Malli Fowler is licensed to practice in * (Not Available) (license number ) 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 1356075352.
Provider's Profile
Full Name | Malli Fowler |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 110 Canberra Ct, Cary, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356075352
- Provider Enumeration Date: 07/14/2022
- Last Update Date: 07/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810334190
- Enrollment ID: I20240321003548
Medical Identifiers
Medical identifiers for Malli Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356075352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Malli 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 |
Malli Fowler, 110 Canberra Ct, Cary, NC 27513-2923 Ph: () - | Malli Fowler, 110 Canberra Ct, Cary, NC 27513-2923 Ph: (919) 724-7139 |
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