Tonya Croll Fowler, FNP-C - Medicare Nurse Practitioner in Covington, LA

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Tonya Croll Fowler, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Covington, Louisiana. Her current practice location is 1850 N Highway 190, Covington, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 809-1515.

Tonya Croll Fowler is licensed to practice in Louisiana (license number AP08744) 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 1952763880.

Contact Information

Tonya Croll Fowler, FNP-C
1850 N Highway 190,
Covington, LA 70433-5157
(985) 809-1515
Not Available

Map and Direction




Provider's Profile

Full NameTonya Croll Fowler
GenderFemale
SpecialityNurse Practitioner - Family
Location1850 N Highway 190, Covington, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952763880
  • Provider Enumeration Date: 03/21/2016
  • Last Update Date: 09/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860765559
  • Enrollment ID: I20170831000431

Medical Identifiers

Medical identifiers for Tonya Croll Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952763880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP08744 (Louisiana)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. Tonya Croll Fowler allows following entities to bill medicare on her behalf.
Entity NameLouisiana State University School Of Medicine In New Orleans Faculty G
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477582526
PECOS PAC ID: 0244136448
Enrollment ID: O20031209000661
Entity NameMinuteclinic Diagnostic Of Louisiana, L.l.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285975482
PECOS PAC ID: 7618106477
Enrollment ID: O20140128000722
Entity NameAct One Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609543701
PECOS PAC ID: 9436556974
Enrollment ID: O20210924002676
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20220221001681

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. Tonya Croll 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 AddressPractice Location Address
Tonya Croll Fowler, FNP-C
1850 N Highway 190,
Covington, LA 70433-5157

Ph: (985) 809-1515		Tonya Croll Fowler, FNP-C
1850 N Highway 190,
Covington, LA 70433-5157

Ph: (985) 809-1515

Reviews and Comments


Nurse Practitioner Nurses in Covington, LA

Sunny R Mcdaniel, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 120 Innwood Dr, Covington, LA 70433
Phone: 985-892-3225    Fax: 985-892-7677
Mr. Luis Benigno Martinez Iii,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1850 N Highway 190, Covington, LA 70433
Phone: 985-809-1515    
Jeffrey J Stein, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1970 N Hwy 190, Covington, LA 70433
Phone: 985-867-8585    Fax: 985-867-3644
Dionne M Stein, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1970 N. Hwy 190, Covington, LA 70433
Phone: 985-867-8585    Fax: 985-867-3644
Stacy Sharp, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20 Starbrush Cir, Covington, LA 70433
Phone: 985-871-6020    
Colleen Leo Frady, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433
Phone: 985-867-8585    
Mrs. Josephine Elizabeth Sims, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 205 Highland Park Plz, Suite 205, Covington, LA 70433
Phone: 985-871-8681    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.