Tracey Lynn Fowler, CRNP in Bradford, PA - Medicare Nurse Practitioner

Tracey Lynn Fowler, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bradford, Pennsylvania. Her current practice location is 110 Campus Dr, Bradford, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 362-6535.

Tracey Lynn Fowler is licensed to practice in Pennsylvania (license number SP009428) 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 1518030378.

Contact Information

	Tracey Lynn Fowler, CRNP
	110 Campus Dr, Bradford, PA 16701-1982
	(814) 362-6535
	Not Available

Map and Direction

Provider's Profile

Full Name	Tracey Lynn Fowler
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	110 Campus Dr, Bradford, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518030378
Provider Enumeration Date: 11/17/2006
Last Update Date: 02/21/2016

Medicare PECOS Information:

PECOS PAC ID: 9537165287
Enrollment ID: I20061020000021

Medical Identifiers

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

Identifier	Type	State	Issuer
1518030378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP009428 (Pennsylvania)	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. Tracey Lynn Fowler allows following entities to bill medicare on her behalf.

Entity Name	Intercare Health Systems, Ltd, Dba Intercare Psychiatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912094160 PECOS PAC ID: 3173424777 Enrollment ID: O20040116000439

Entity Name	New Directions Mental Health, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215904800 PECOS PAC ID: 0345228318 Enrollment ID: O20040708000230

Entity Name	Olean General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20110202000149

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. Tracey Lynn 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
Tracey Lynn Fowler, CRNP 26 N Pine St, Port Allegany, PA 16743-1344 Ph: (716) 307-3714	Tracey Lynn Fowler, CRNP 110 Campus Dr, Bradford, PA 16701-1982 Ph: (814) 362-6535

Reviews and Comments

Nurse Practitioner Nurses in Bradford, PA

Darlene G Venezia Skaggs, MSN,NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 E. Main Sreet, Bradford, PA 16701 Phone: 814-368-1000 Fax: 814-368-1008
Karen Marie Kline, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6536 Fax: 814-817-2113
Andrew Davidson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 214-368-9600
Mrs. Tammy Michelle Haley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 70 1/2 Mechanic Street, Bradford, PA 16701 Phone: 814-368-6129 Fax: 814-368-6174
Ms. Karen Mcclain, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy Ste 41, Bradford, PA 16701 Phone: 814-368-4143
Mr. Jacob Burnell Penhollow, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-362-8274
Becky Mckeirnan-seefeldt, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-362-8390

Tracey Lynn Fowler, CRNP - Medicare Nurse Practitioner in Bradford, PA