Desaree Fowler, PNP-PC in Springville, UT - Medicare Nurse Practitioner

Desaree Fowler, PNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Springville, Utah. Her current practice location is 672 W 400 S Ste 101, Springville, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 491-9883.

Desaree Fowler is licensed to practice in New Mexico (license number CNP-03137) 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 1124566179.

Contact Information

	Desaree Fowler, PNP-PC
	672 W 400 S Ste 101, Springville, UT 84663-3170
	(801) 491-9883
	(801) 489-3141

Map and Direction

Provider's Profile

Full Name	Desaree Fowler
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	672 W 400 S Ste 101, Springville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124566179
Provider Enumeration Date: 02/09/2017
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2567748551
Enrollment ID: I20231115003648

Medical Identifiers

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

Identifier	Type	State	Issuer
1124566179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	CNP-03137 (New Mexico)	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. Desaree Fowler allows following entities to bill medicare on her behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Desaree 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
Desaree Fowler, PNP-PC 1055 N 500 W, Attn. Credentialing, Provo, UT 84604 Ph: (801) 354-8225	Desaree Fowler, PNP-PC 672 W 400 S Ste 101, Springville, UT 84663-3170 Ph: (801) 491-9883

Reviews and Comments

Nurse Practitioner Nurses in Springville, UT

Erin Anna Tyrrell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 Fax: 801-798-8513
Ellen Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 677 S 950 W, Springville, UT 84663 Phone: 435-621-9335
Michelle Brandt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464
Danielle Alair Bate, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464
Mrs. Nesha Burrows, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 Fax: 801-798-8513
Mr. Jonathan Dean Flake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 980 W 1275 S, Springville, UT 84663 Phone: 801-380-2538

Desaree Fowler, PNP-PC - Medicare Nurse Practitioner in Springville, UT