Jennifer Foraker, is a
Psychologist based in Independence, Kansas. Jennifer Foraker is licensed to practice in Kansas (license number 852) and her current practice location is
3751 W Main St, Independence, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 331-1748.
NPI number for Jennifer Foraker is 1942317862 and her current mailing address is Po Box 688, Independence, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942317862.
Healthcare Provider's Profile
| Full Name | Jennifer Foraker |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 3751 W Main St, Independence, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942317862
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 12/01/2014
Medical Identifiers
Medical identifiers for Jennifer Foraker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942317862 | NPI | - | NPPES |
| 200439250A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LAC 1048 (Kansas) | Secondary |
| 103T00000X | Psychologist | 852 (Kansas) | 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. Jennifer Foraker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer Foraker, Po Box 688, Independence, KS 67301-0688 Ph: Not Available | Jennifer Foraker, 3751 W Main St, Independence, KS 67301-8446 Ph: (620) 331-1748 |
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