Mr James Mark Fowler, PT is a medicare enrolled "Physical Therapist" provider in Moriarty, New Mexico. His current practice location is
2005 W Us Route 66, Suite C, Moriarty, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 832-4011.
Mr James Mark Fowler is licensed to practice in New Mexico (license number 1036) 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 1649344276.
Healthcare Provider's Profile
| Full Name | Mr James Mark Fowler |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 2005 W Us Route 66, Moriarty, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649344276
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 01/31/2012
Medicare PECOS Information:
- PECOS PAC ID: 1759343049
- Enrollment ID: I20120326000677
Medical Identifiers
Medical identifiers for Mr James Mark Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649344276 | NPI | - | NPPES |
| H1865 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 1036 (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. Mr James Mark Fowler allows following entities to bill medicare on his behalf.
| Provider Name | Fowler Enterprises Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669455994 PECOS PAC ID: 6305808692 Enrollment ID: O20041029000133 |
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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. Mr James Mark 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 |
Mr James Mark Fowler, PT Po Box 1730, Moriarty, NM 87035-1730 Ph: (505) 832-4011 | Mr James Mark Fowler, PT 2005 W Us Route 66, Suite C, Moriarty, NM 87035 Ph: (505) 832-4011 |
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