Geoffrey Fowler, PSYD in Leesburg, VA - Medicare Psychologist Provider

Geoffrey Fowler, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Leesburg, Virginia. His current practice location is 199 Liberty St Sw, Leesburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 621-7121.

Geoffrey Fowler is licensed to practice in Virginia (license number 0810006348) 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 1417475435.

Contact Information

	Geoffrey Fowler, PSYD
	199 Liberty St Sw, Leesburg, VA 20175-2715
	(703) 621-7121
	(703) 665-7686

Map and Direction

Healthcare Provider's Profile

Full Name	Geoffrey Fowler
Gender	Male
Speciality	Psychologist - Clinical
Location	199 Liberty St Sw, Leesburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417475435
Provider Enumeration Date: 08/30/2017
Last Update Date: 10/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2961874631
Enrollment ID: I20231018002491

Medical Identifiers

Medical identifiers for Geoffrey Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417475435	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810006348 (Virginia)	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. Geoffrey Fowler allows following entities to bill medicare on his behalf.

Entity Name	Commonwealth Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20210302002411

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. Geoffrey 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
Geoffrey Fowler, PSYD 9202 Center Oak Ct, Mechanicsville, VA 23116-2744 Ph: (804) 207-6737	Geoffrey Fowler, PSYD 199 Liberty St Sw, Leesburg, VA 20175-2715 Ph: (703) 621-7121

Reviews and Comments

Psychologist in Leesburg, VA

Gregory Michael Murphy, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 199 Liberty St Sw, Leesburg, VA 20175 Phone: 703-621-7121 Fax: 703-665-7686
Avy Stock, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42009 Victory Ln, Leesburg, VA 20176 Phone: 330-758-4515 Fax: 330-758-2862
Dr. Holiday Rondeau, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 Loudoun St Se, Leesburg, VA 20175 Phone: 540-882-9080 Fax: 540-882-9310
Dr. Stacey Lee Waring, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 Heritage Way Ne Ste 302, Leesburg, VA 20176 Phone: 703-771-5100 Fax: 703-777-0170
Sofia Graham, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 222 Catoctin Cir Se Ste 126, Leesburg, VA 20175 Phone: 714-771-6135
Dr. Lisa Marie Doll, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 102 Heritage Way Ne, Suite 302, Leesburg, VA 20176 Phone: 703-771-5100
Dr. Sarah Vanlandingham, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 552 Fort Evans Rd Ste 206, Leesburg, VA 20176 Phone: 703-777-7755

Geoffrey Fowler, PSYD - Medicare Psychologist in Leesburg, VA