Shanetra Fowler, in Lockhart, TX - Medicare Social Worker Provider

Shanetra Fowler, is a medicare enrolled "Social Worker - Clinical" provider in Lockhart, Texas. Her current practice location is 896 Robin Ranch Rd, Lockhart, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 376-2101.

Shanetra Fowler is licensed to practice in Texas (license number 63901) 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 1215499785.

Contact Information

	Shanetra Fowler,
	896 Robin Ranch Rd, Lockhart, TX 78644-4578
	(512) 376-2101
	(512) 398-3040

Map and Direction

Healthcare Provider's Profile

Full Name	Shanetra Fowler
Gender	Female
Speciality	Social Worker - Clinical
Location	896 Robin Ranch Rd, Lockhart, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215499785
Provider Enumeration Date: 04/03/2019
Last Update Date: 04/03/2019

Medicare PECOS Information:

PECOS PAC ID: 3971846502
Enrollment ID: I20190522000266

Medical Identifiers

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

Identifier	Type	State	Issuer
1215499785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	63901 (Texas)	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. Shanetra Fowler allows following entities to bill medicare on her behalf.

Entity Name	Austin Travis County Mental Health And Mental Retardation Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750337259 PECOS PAC ID: 9133016306 Enrollment ID: O20040305000036

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541

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. Shanetra 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
Shanetra Fowler, 896 Robin Ranch Rd, Lockhart, TX 78644-4578 Ph: (512) 376-2101	Shanetra Fowler, 896 Robin Ranch Rd, Lockhart, TX 78644-4578 Ph: (512) 376-2101

Reviews and Comments

Social Worker in Lockhart, TX

Ranelle Edith Sutton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2060 S Colorado St, Lockhart, TX 78644 Phone: 512-507-8423
Kathryn Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1711 S Colorado St Ste E-453, Lockhart, TX 78644 Phone: 512-761-5228
Therese Werner, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 896 Robin Ranch Rd., Lockhart, TX 78644 Phone: --
Jennifer Brietzke, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1505 S Main St, Lockhart, TX 78644 Phone: 512-217-5076
Sofie Loring Cardinal, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 217 San Jacinto St, Lockhart, TX 78644 Phone: 818-793-6226
Kristi Baumbach, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1505 S Main St, Lockhart, TX 78644 Phone: 512-217-5690

Shanetra Fowler, - Medicare Clinical Social Worker in Lockhart, TX