Angela Fowler, in Merrillville, IN - Medicare Counselor Provider

Angela Fowler, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Merrillville, Indiana. Her current practice location is 8601 Connecticut St, Merrillville, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 525-3495.

Angela Fowler is licensed to practice in Indiana (license number 87001659A) 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 1962860726.

Contact Information

	Angela Fowler,
	8601 Connecticut St, Merrillville, IN 46410-6647
	(219) 525-3495
	(219) 472-0934

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Fowler
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	8601 Connecticut St, Merrillville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962860726
Provider Enumeration Date: 02/08/2016
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9537503271
Enrollment ID: I20240221000963

Medical Identifiers

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

Identifier	Type	State	Issuer
1962860726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	87001659A (Indiana)	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. Angela Fowler allows following entities to bill medicare on her behalf.

Entity Name	Cleanslate Medical Group Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515

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. Angela 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
Angela Fowler, 8601 Connecticut St, Merrillville, IN 46410-6647 Ph: (219) 525-3495	Angela Fowler, 8601 Connecticut St, Merrillville, IN 46410-6647 Ph: (219) 525-3495

Reviews and Comments

Counselor in Merrillville, IN

Mary Sullivan, BLS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005
Sandra Demos Kelley, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8300 Broadway, F1, Merrillville, IN 46410 Phone: 219-736-1000 Fax: 219-736-9699
Vanessa Qualls, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 E 86th Ave, Merrillville, IN 46410 Phone: 219-323-3311
Tara Robin Durant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 Georgia St, Merrillville, IN 46410 Phone: 219-791-1400 Fax: 219-791-1422
Monika Marie Segally, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005
Melissa Sanchez, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005
Jason Herr, LMHC, CP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1409 E 84th Pl, Merrillville, IN 46410 Phone: 219-794-2000 Fax: 219-794-2010

Angela Fowler, - Medicare Counselor in Merrillville, IN