Randall Fowler, MD - Medicare Emergency Medicine in Pocatello, ID

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Randall Fowler, MD is a medicare enrolled "Emergency Medicine" physician in Pocatello, Idaho. His current practice location is 651 Memorial Dr, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 239-1000.

Randall Fowler is licensed to practice in Idaho (license number M5953) 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 1154344059.

Contact Information

Randall Fowler, MD
651 Memorial Dr,
Pocatello, ID 83201-4071
(208) 239-1000
Not Available

Map and Direction




Physician's Profile

Full NameRandall Fowler
GenderMale
SpecialityEmergency Medicine
Location651 Memorial Dr, Pocatello, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154344059
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8224185244
  • Enrollment ID: I20090416000495

Medical Identifiers

Medical identifiers for Randall Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154344059NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine M5953 (Idaho)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. Randall Fowler allows following entities to bill medicare on his behalf.
Entity NamePocatello Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689802852
PECOS PAC ID: 6608927637
Enrollment ID: O20090701000646
Entity NameTeton Valley Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013264183
PECOS PAC ID: 3870744956
Enrollment ID: O20121128000587

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. Randall 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 AddressPractice Location Address
Randall Fowler, MD
651 Memorial Dr,
Pocatello, ID 83201-4071

Ph: (208) 239-1000		Randall Fowler, MD
651 Memorial Dr,
Pocatello, ID 83201-4071

Ph: (208) 239-1000

Reviews and Comments


Emergency Medicine Doctors in Pocatello, ID

Kenneth Ryan, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 651 Memorial Dr, Pocatello, ID 83201
Phone: 208-239-1000    
Dr. Jordon Marshall, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Emergency Department, Pocatello, ID 83201
Phone: 208-239-1801    
Dr. Morgan Newel Anderson, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1000    
Charles O Garrison, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1125 W Alameda Rd, Pocatello, ID 83201
Phone: 208-237-1151    Fax: 208-237-9721
Dr. Andrew Lee Vincent, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-417-7569    Fax: 480-421-9899
Douglas Favor, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 777 Hospital Way, Emergency Dept, Pocatello, ID 83201
Phone: 208-417-7569    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.