Gerry Wade Funkhouser Jr, PLPC in Rolla, MO - Medicare Counselor Provider

Gerry Wade Funkhouser Jr, PLPC is a medicare enrolled "Counselor" provider in Rolla, Missouri. His current practice location is 103 W 10th St, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (833) 338-4673.

Gerry Wade Funkhouser Jr is licensed to practice in Missouri (license number 2017034374) 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 1427567726.

Contact Information

	Gerry Wade Funkhouser Jr, PLPC
	103 W 10th St, Rolla, MO 65401
	(833) 338-4673
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gerry Wade Funkhouser Jr
Gender	Male
Speciality	Counselor
Location	103 W 10th St, Rolla, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427567726
Provider Enumeration Date: 09/29/2017
Last Update Date: 03/06/2019

Medicare PECOS Information:

PECOS PAC ID: 9133578016
Enrollment ID: I20231218003170

Medical Identifiers

Medical identifiers for Gerry Wade Funkhouser Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427567726	NPI	-	NPPES
1427567726	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	2017034374 (Missouri)	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. Gerry Wade Funkhouser Jr allows following entities to bill medicare on his behalf.

Entity Name	Moore Family Therapy
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821508763 PECOS PAC ID: 6507212172 Enrollment ID: O20231102001834

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. Gerry Wade Funkhouser Jr 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
Gerry Wade Funkhouser Jr, PLPC 1700 Ashwood Dr Apt 7, Rolla, MO 65401-0102 Ph: (636) 465-4356	Gerry Wade Funkhouser Jr, PLPC 103 W 10th St, Rolla, MO 65401 Ph: (833) 338-4673

Reviews and Comments

Counselor in Rolla, MO

Amber Lea Johnston, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 W 10th St, Rolla, MO 65401 Phone: 573-433-4846
Tammy M. Cox, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1450 E 10th St, Rolla, MO 65401 Phone: 888-403-1071
Ms. Jessica Robart, MA, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Forum Dr, Rolla, MO 65401 Phone: 573-466-4081
Zodie Love Flemings, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1030 Kingshighway St Ste A, Rolla, MO 65401 Phone: 888-888-8821
Rebecca Lynne Helm, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14431 County Road 8120, Rolla, MO 65401 Phone: 573-341-9087
Mrs. Deborah Ann Hale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10821 Breeden Dr, Rolla, MO 65401 Phone: 573-465-4989
Raleigh Abell, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1051 Kingshighway St Ste 5, Rolla, MO 65401 Phone: 573-364-8511

Gerry Wade Funkhouser Jr, PLPC - Medicare Counselor in Rolla, MO