Matthew Fowler, AGNP-C - Medicare Nurse Practitioner in Caldwell, ID

Matthew Fowler, AGNP-C is a medicare enrolled "Nurse Practitioner" in Caldwell, Idaho. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Meridian Advanced Psychiatry , Llc and his current practice location is 211 E Logan St Ste 301, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 649-4315.

Matthew Fowler is licensed to practice in Idaho (license number 63745) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053943688.

Contact Information

Matthew Fowler, AGNP-C
211 E Logan St Ste 301,
Caldwell, ID 83605-4882
(208) 649-4315
(208) 649-4513



Provider's Profile

Full NameMatthew Fowler
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location211 E Logan St Ste 301, Caldwell, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew Fowler graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1053943688
  • Provider Enumeration Date: 02/11/2020
  • Last Update Date: 02/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224442348
  • Enrollment ID: I20210202000948

Medical Identifiers

Medical identifiers for Matthew Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053943688NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 63745 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Meridian Advanced Psychiatry , Llc862849071122

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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. Matthew Fowler allows following entities to bill medicare on his behalf.
Entity NameMeridian Advanced Psychiatry , Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609412683
PECOS PAC ID: 8628490711
Enrollment ID: O20200618000604

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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. Matthew 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
Matthew Fowler, AGNP-C
211 E Logan St Ste 301,
Caldwell, ID 83605-4882

Ph: (208) 649-4315
Matthew Fowler, AGNP-C
211 E Logan St Ste 301,
Caldwell, ID 83605-4882

Ph: (208) 649-4315

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Nurse Practitioner Nurses in Caldwell, ID

Cynthia Jane Floyd, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15076 Plum Rd, Caldwell, ID 83607
Phone: 208-830-5560    
Ashley Fae White, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1717 Arlington Ave, Caldwell, ID 83605
Phone: 208-459-4641    
Mrs. Deborah Lee Sullivan, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 211 E Logan St, Suite 105, Caldwell, ID 83605
Phone: 208-454-0567    Fax: 208-402-6635
Lynette Joy Ages, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 S 10th Ave Ste 200, Caldwell, ID 83605
Phone: 208-453-6417    Fax: 208-453-6419
Robert Slade Thacker, APRN CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1906 Fairview Ave, Ste. 230, Caldwell, ID 83605
Phone: 208-459-4667    
Crystal Gail Belcourt, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605
Phone: 208-505-2950    Fax: 208-505-2955

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