Carla J Fowler, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sauk Centre, Minnesota. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lakewood Health System and her current practice location is
10382 Augusta Dr, Sauk Centre, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 351-8422.
Carla J Fowler is licensed to practice in Minnesota (license number 112) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386912939.
Provider's Profile
| Full Name | Carla J Fowler |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 15 Years |
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| Location | 10382 Augusta Dr, Sauk Centre, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carla J Fowler graduated from nursing school in 2011
NPI Data:
- NPI Number: 1386912939
- Provider Enumeration Date: 12/11/2011
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597931774
- Enrollment ID: I20120110000771
Medical Identifiers
Medical identifiers for Carla J Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386912939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | R160100-0 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 112 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakewood Health System | 1052229671 | 90 |
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. Carla J Fowler allows following entities to bill medicare on her behalf.
| Entity Name | Lakewood Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841280823
PECOS PAC ID: 1052229671
Enrollment ID: O20031104000411 |
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| Entity Name | Centracare Health System - Melrose |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720045073
PECOS PAC ID: 1658270368
Enrollment ID: O20031231000690 |
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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. Carla J 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 |
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Carla J Fowler, CRNA
460 River St W,
Holdingford, MN 56340-4519
Ph: (320) 248-2904 | Carla J Fowler, CRNA
10382 Augusta Dr,
Sauk Centre, MN 56378-4864
Ph: (320) 351-8422 |
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