Mrs Shannon Marie Fowler, NP in Madison, AL - Medicare Nurse Practitioner

Mrs Shannon Marie Fowler, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Madison, Alabama. Her current practice location is 1038 Research Blvd, Madison, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 379-0174.

Mrs Shannon Marie Fowler is licensed to practice in Alabama (license number 1-113275) 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 1134764608.

Contact Information

	Mrs Shannon Marie Fowler, NP
	1038 Research Blvd, Madison, AL 35758-2069
	(205) 379-0174
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Marie Fowler
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1038 Research Blvd, Madison, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134764608
Provider Enumeration Date: 11/08/2019
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 1759788995
Enrollment ID: I20210930001119

Medical Identifiers

Medical identifiers for Mrs Shannon Marie Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134764608	NPI	-	NPPES
1134764608	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	113275 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	32107 (Tennessee)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	1-113275 (Alabama)	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. Mrs Shannon Marie Fowler allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395

Entity Name	Advantage Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023447943 PECOS PAC ID: 7618103748 Enrollment ID: O20131120001477

Entity Name	Alh Hospitalist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770992398 PECOS PAC ID: 7517289861 Enrollment ID: O20141124001005

Entity Name	Alabama Infusion Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649736323 PECOS PAC ID: 7315288487 Enrollment ID: O20190418001087

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. Mrs Shannon Marie 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
Mrs Shannon Marie Fowler, NP 27717 Kosar Xing, Athens, AL 35613-7606 Ph: (256) 777-2620	Mrs Shannon Marie Fowler, NP 1038 Research Blvd, Madison, AL 35758-2069 Ph: (205) 379-0174

Reviews and Comments

Nurse Practitioner Nurses in Madison, AL

Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334
Dr. Kaitlyn Wendolowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12100 County Line Rd Ste A2, Madison, AL 35756 Phone: 256-724-7714 Fax: 256-724-7065
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994
Erin Stinnett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7500 Highway 72 W, Madison, AL 35758 Phone: 256-964-8338

Mrs Shannon Marie Fowler, NP - Medicare Nurse Practitioner in Madison, AL