| Dr Vincent Roy Fowler, MD | |
|
9041 Magnolia Ave Ste 206, Riverside, CA 92503-3956 | |
| (951) 354-2220 | |
| (951) 354-2218 |
| Full Name | Dr Vincent Roy Fowler |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 52 Years |
| Location | 9041 Magnolia Ave Ste 206, Riverside, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548368749 | NPI | - | NPPES |
| 00A300490 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A30049 (California) | Secondary |
| 207N00000X | Dermatology | 42759 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Dermatology Institute | 2062546260 | 30 |
| Entity Name | Pacific Dermatology Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740410182 PECOS PAC ID: 2062546260 Enrollment ID: O20100810000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vincent Roy Fowler, MD 9041 Magnolia Ave Ste 206, Riverside, CA 92503-3956 Ph: (951) 354-2220 | Dr Vincent Roy Fowler, MD 9041 Magnolia Ave Ste 206, Riverside, CA 92503-3956 Ph: (951) 354-2220 |
Tracy Leong, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7160 Brockton Ave Fl 2, Riverside, CA 92506 Phone: 951-782-3837 Fax: 951-328-9758 | |
Amy Delaney, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5412 Fax: 951-697-5439 | |
Kourosh Beroukhim, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 310-272-6025 | |
Dr. Ethan-quan H Nguyen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4336 Market St, Riverside, CA 92501 Phone: 951-682-9293 | |
Hubert Charles Watkins, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6926 Brockton Ave, Suite 10, Riverside, CA 92506 Phone: 951-683-0540 Fax: 951-683-4516 | |
Gary Francis Dick, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Pascal J. Imperato, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 |