| Benjamin D Fowler, | |
|
207 E St Ste B, Davis, CA 95616-4523 | |
| (530) 206-9996 | |
| Not Available |
| Full Name | Benjamin D Fowler |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 207 E St Ste B, Davis, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801156567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW76696 (California) | Primary |
| 104100000X | Social Worker | 76696 (California) | Secondary |
| Entity Name | County Of Solano |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508072588 PECOS PAC ID: 7911893177 Enrollment ID: O20040224001362 |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095 |
| Entity Name | Psynergy Programs, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801934450 PECOS PAC ID: 5193903813 Enrollment ID: O20110629000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin D Fowler, 3835 N Freeway Blvd Ste 100, Sacramento, CA 95834-1954 Ph: () - | Benjamin D Fowler, 207 E St Ste B, Davis, CA 95616-4523 Ph: (530) 206-9996 |
Ms. Nancy Gail Edgar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 A St, Davis, CA 95616 Phone: 530-757-5532 Fax: 530-757-5533 | |
Mr. Milton Kalish, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 613 G St, Ste. A, Davis, CA 95616 Phone: 530-753-1331 | |
Vinita Quinones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33100 County Road 31, Davis, CA 95616 Phone: 530-702-6021 | |
Mrs. Andrea Bixson Stone, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 429 F St, Suite 5, Davis, CA 95616 Phone: 530-753-8878 | |
Dulce M Ruatti, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 212 I St, Davis, CA 95616 Phone: 530-601-5959 | |
David Norman Mendelmar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 E St Ste 2e, Davis, CA 95616 Phone: 707-254-2656 | |
Michele Park Andrew, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1830 Glenn Pl, Davis, CA 95616 Phone: 925-366-5255 |