Kimberly Jay Fowler, LCSW-S is a medicare enrolled "Social Worker - Clinical" provider in Luling, Texas. She graduated from medical school in 1988 and has 38 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Treebrook Counseling and her current practice location is
130 Hays St, Luling, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 705-9502.
Kimberly Jay Fowler is licensed to practice in Texas (license number 22180) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285460311.
Healthcare Provider's Profile
| Full Name | Kimberly Jay Fowler |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 38 Years |
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| Location | 130 Hays St, Luling, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Jay Fowler graduated from medical school in 1988
NPI Data:
- NPI Number: 1285460311
- Provider Enumeration Date: 09/13/2024
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345778817
- Enrollment ID: I20250110003493
Medical Identifiers
Medical identifiers for Kimberly Jay Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285460311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 22180 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Treebrook Counseling | 2466710124 | 4 |
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. Kimberly Jay Fowler allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Seton |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073536900
PECOS PAC ID: 5193634293
Enrollment ID: O20031126000173 |
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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. Kimberly Jay 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 |
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Kimberly Jay Fowler, LCSW-S
130 Hays St,
Luling, TX 78648-3207
Ph: (512) 705-9502 | Kimberly Jay Fowler, LCSW-S
130 Hays St,
Luling, TX 78648-3207
Ph: (512) 705-9502 |
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