Holley Aleece Fowler, - Medicare Nurse Practitioner in Jonesboro, AR

Holley Aleece Fowler, is a medicare enrolled "Nurse Practitioner - Family" in Jonesboro, Arkansas. Her current practice location is 225 E Jackson Ave, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 207-4100.

Holley Aleece Fowler is licensed to practice in Arkansas (license number A005398) 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 1063911790.

Contact Information

Holley Aleece Fowler,
225 E Jackson Ave,
Jonesboro, AR 72401-3119
(870) 207-4100
Not Available



Provider's Profile

Full NameHolley Aleece Fowler
GenderFemale
SpecialityNurse Practitioner - Family
Location225 E Jackson Ave, Jonesboro, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063911790
  • Provider Enumeration Date: 02/08/2018
  • Last Update Date: 02/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6901169663
  • Enrollment ID: I20180410002197

Medical Identifiers

Medical identifiers for Holley Aleece Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063911790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A005398 (Arkansas)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. Holley Aleece Fowler allows following entities to bill medicare on her behalf.
Entity NameDoctors Health Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982667895
PECOS PAC ID: 7315844586
Enrollment ID: O20040421001512

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Entity NameSt Bernards Physician Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447923438
PECOS PAC ID: 7012311269
Enrollment ID: O20210810001875

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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. Holley Aleece 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 AddressPractice Location Address
Holley Aleece Fowler,
225 E Jackson Ave,
Jonesboro, AR 72401-3119

Ph: () -
Holley Aleece Fowler,
225 E Jackson Ave,
Jonesboro, AR 72401-3119

Ph: (870) 207-4100

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› Verified 3 days ago


Nurse Practitioner Nurses in Jonesboro, AR

Mrs. Renata Jane Vaughn, APN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1530 N Church St, Jonesboro, AR 72401
Phone: 870-802-3590    Fax: 870-327-7970
Sandra Troxel, DNP/APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404
Phone: 870-336-1675    
Jesse Ash, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401
Phone: 870-207-4100    
Ms. Amy Mary Elizabeth Daughhetee, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 225 East Washington Ave, Jonesboro, AR 72401
Phone: 870-207-4100    
Candice Brianne Burnside, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401
Phone: 870-207-1630    
Heather Stallings, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1021 Neil Dr, Jonesboro, AR 72401
Phone: 870-898-0088    
Katie J Hutton, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 Carson St, Jonesboro, AR 72401
Phone: 870-910-7726    

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