Dr Brent Cody Makijarvi Fowler, DO in Casper, WY - Medicare Family Medicine

Dr Brent Cody Makijarvi Fowler, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Casper, Wyoming. His current practice location is 4140 Centennial Hills Blvd, Casper, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 265-7205.

Dr Brent Cody Makijarvi Fowler is licensed to practice in Wyoming (license number 14933A) 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 1528684339.

Contact Information

	Dr Brent Cody Makijarvi Fowler, DO
	4140 Centennial Hills Blvd, Casper, WY 82609-3265
	(307) 265-7205
	Not Available

Physician's Profile

Full Name	Dr Brent Cody Makijarvi Fowler
Gender	Male
Speciality	Family Medicine - Sports Medicine
Location	4140 Centennial Hills Blvd, Casper, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528684339
Provider Enumeration Date: 06/18/2020
Last Update Date: 02/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6800294109
Enrollment ID: I20211015002222

Medical Identifiers

Medical identifiers for Dr Brent Cody Makijarvi Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528684339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	14933A (Wyoming)	Secondary
207QS0010X	Family Medicine - Sports Medicine	14933A (Wyoming)	Primary

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. Dr Brent Cody Makijarvi 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
Dr Brent Cody Makijarvi Fowler, DO 4140 Centennial Hills Blvd, Casper, WY 82609-3265 Ph: (307) 265-7205	Dr Brent Cody Makijarvi Fowler, DO 4140 Centennial Hills Blvd, Casper, WY 82609-3265 Ph: (307) 265-7205

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Family Medicine Doctors in Casper, WY

Zachory Fred Deiss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161
Philip Gard, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161
Dr. Johnny M Tooke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2241 Farnum Ste 105, Casper, WY 82609 Phone: 307-266-1263 Fax: 307-265-0410
Larissa Faith Gray, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161
Adam Linck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 S. Conwell Street, Casper, WY 82601 Phone: 307-265-8300 Fax: 307-233-8230
Renae Marie Hepfner, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1522 E A St, Casper, WY 82601 Phone: 307-234-6161
Sherrill A Fox, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 E 2nd St, Suite 200, Casper, WY 82609 Phone: 307-577-5100 Fax: 307-234-1201

Dr Brent Cody Makijarvi Fowler, DO - Medicare Family Medicine in Casper, WY