| Shelly A Fowler, PA-C | |
|
38 Mulberry St Ste 204, Leeds, MA 01053-5339 | |
| (413) 727-3882 | |
| (413) 727-8691 |
| Full Name | Shelly A Fowler |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 38 Mulberry St Ste 204, Leeds, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598954208 | NPI | - | NPPES |
| 003020211 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 002021 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | PA1051 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly A Fowler, PA-C Po Box 313, Leeds, MA 01053-0313 Ph: (413) 727-3882 | Shelly A Fowler, PA-C 38 Mulberry St Ste 204, Leeds, MA 01053-5339 Ph: (413) 727-3882 |
Kevyn J Miller, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040 | |
Mr. William Vanwagner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-582-3010 Fax: 413-582-3185 | |
Shawn P Mcewan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 421 N Main St, Primary Care, Leeds, MA 01053 Phone: 413-584-4040 | |
Mr. Bruce Alan Bennett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040 Fax: 413-582-3152 | |
Ms. Lynn E Lapour, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040 | |
Mr. Charles Thomas Russett, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 421 N Main St, Room 222, Leeds, MA 01053 Phone: 413-584-4040 |