Daniel Fowler, is a medicare enrolled "Counselor - Professional" provider in Bells, Tennessee. His current practice location is
45 Addimack Cv, Bells, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 961-1796.
Daniel Fowler is licensed to practice in Tennessee (license number 6295) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710365580.
Healthcare Provider's Profile
| Full Name | Daniel Fowler |
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| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 45 Addimack Cv, Bells, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710365580
- Provider Enumeration Date: 05/13/2015
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628595634
- Enrollment ID: I20250502002314
Medical Identifiers
Medical identifiers for Daniel Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710365580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 6295 (Tennessee) | 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. Daniel Fowler allows following entities to bill medicare on his behalf.
| Entity Name | Ultra Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20160607002194 |
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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. Daniel 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 |
|---|
Daniel Fowler,
45 Addimack Cv,
Bells, TN 38006-2400
Ph: (731) 961-1796 | Daniel Fowler,
45 Addimack Cv,
Bells, TN 38006-2400
Ph: (731) 961-1796 |
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