Ms Rebecca J Fowlkes, APRN, PMHNP-BC - Medicare Nurse Practitioner in San Francisco, CA

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Ms Rebecca J Fowlkes, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Francisco, California. Her current practice location is 5214f Diamond Heights Blvd, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (865) 607-7357.

Ms Rebecca J Fowlkes is licensed to practice in Tennessee (license number 14419) 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 1427290071.

Contact Information

Ms Rebecca J Fowlkes, APRN, PMHNP-BC
5214f Diamond Heights Blvd,
San Francisco, CA 94131-2175
(865) 607-7357
Not Available

Map and Direction




Provider's Profile

Full NameMs Rebecca J Fowlkes
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5214f Diamond Heights Blvd, San Francisco, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427290071
  • Provider Enumeration Date: 03/28/2009
  • Last Update Date: 02/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4688707243
  • Enrollment ID: I20100803000434

Medical Identifiers

Medical identifiers for Ms Rebecca J Fowlkes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427290071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice RN210612 (Georgia)Secondary
163W00000XRegistered Nurse RN0000145984 (Tennessee)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 145984 (Ohio)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 113537-23 (New Hampshire)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 0024191575 (Virginia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 14038 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family RN210612 (Georgia)Secondary
363LF0000XNurse Practitioner - Family APN0000014419 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health C-APN.0002897-C-NP (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health C-RXN.0001393-C-NP (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4026747 (Kentucky)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 14419 (Tennessee)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61599624 (Washington)Secondary

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. Ms Rebecca J Fowlkes allows following entities to bill medicare on her behalf.
Entity NameVolunteer Behavioral Health Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043267107
PECOS PAC ID: 3678485802
Enrollment ID: O20031206000098
Entity NameMinuteclinic Diagnostic Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457323164
PECOS PAC ID: 2961428990
Enrollment ID: O20051019000798
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112

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. Ms Rebecca J Fowlkes 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
Ms Rebecca J Fowlkes, APRN, PMHNP-BC
6827 Chiswick Dr,
Chattanooga, TN 37421-2562

Ph: (865) 607-7357		Ms Rebecca J Fowlkes, APRN, PMHNP-BC
5214f Diamond Heights Blvd,
San Francisco, CA 94131-2175

Ph: (865) 607-7357

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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.

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