Mr David H Fowler, CNS/PMH is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Rome, Georgia. His current practice location is
306 Shorter Ave, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 509-3559.
Mr David H Fowler is licensed to practice in Georgia (license number RN050746) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063749588.
Provider's Profile
| Full Name | Mr David H Fowler |
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| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 306 Shorter Ave, Rome, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063749588
- Provider Enumeration Date: 11/04/2009
- Last Update Date: 11/04/2009
Medicare PECOS Information:
- PECOS PAC ID: 1850434531
- Enrollment ID: I20100203000308
Medical Identifiers
Medical identifiers for Mr David H Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063749588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | RN050746 (Georgia) | 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. Mr David H Fowler allows following entities to bill medicare on his behalf.
| Entity Name | Department Of Behavioral Health And Developmental Disabilities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902030307
PECOS PAC ID: 7416002506
Enrollment ID: O20090825000435 |
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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. Mr David H 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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Mr David H Fowler, CNS/PMH
Po Box 1882,
Rome, GA 30162
Ph: (706) 509-3000 | Mr David H Fowler, CNS/PMH
306 Shorter Ave,
Rome, GA 30165
Ph: (706) 509-3559 |
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