Marie Antoinette Fowler, LCSW in Victorville, CA - Medicare Social Worker Provider

Marie Antoinette Fowler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Victorville, California. Her current practice location is 15000 7th St, Suite 103, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 490-7974.

Marie Antoinette Fowler is licensed to practice in California (license number 23905) 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 1255602470.

Contact Information

	Marie Antoinette Fowler, LCSW
	15000 7th St, Suite 103, Victorville, CA 92395-3852
	(760) 490-7974
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marie Antoinette Fowler
Gender	Female
Speciality	Social Worker - Clinical
Location	15000 7th St, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255602470
Provider Enumeration Date: 01/19/2012
Last Update Date: 01/19/2012

Medicare PECOS Information:

PECOS PAC ID: 9436558749
Enrollment ID: I20210518002502

Medical Identifiers

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

Identifier	Type	State	Issuer
1255602470	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	23905 (California)	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. Marie Antoinette Fowler allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

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. Marie Antoinette 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
Marie Antoinette Fowler, LCSW 14040 Park Ave, Victorville, CA 92392-2415 Ph: (760) 241-3744	Marie Antoinette Fowler, LCSW 15000 7th St, Suite 103, Victorville, CA 92395-3852 Ph: (760) 490-7974

Reviews and Comments

Social Worker in Victorville, CA

Jessica Morales Sanchez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14598 Seventh St Ste B, Victorville, CA 92395 Phone: 909-825-7084
Christopher Lee Fadness, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15095 Amargosa Rd Ste 107, Victorville, CA 92394 Phone: 760-955-9703
Myra Dina Lopez, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15434 W Sage St, Victorville, CA 92392 Phone: 760-843-0506 Fax: 760-843-0507
Mrs. Michelle Allen, MASTER SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15095 Amargosa Rd Ste 205, Victorville, CA 92394 Phone: 760-217-3267
Jacquelyn Renee Williams Brooks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15497 W Sand St, Victorville, CA 92392 Phone: 760-875-5000
Eric Bahra, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14390 Park Ave, Victorville, CA 92392 Phone: 714-290-3009
Mr. Phillip George Tardanico, LCSW 69611 Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15000 Seventh St Ste 209, Victorville, CA 92395 Phone: 760-217-9527 Fax: 442-267-5623

Marie Antoinette Fowler, LCSW - Medicare Clinical Social Worker in Victorville, CA