Jerry Fenwick, MD in Springfield, MO - Medicare Emergency Medicine

Jerry Fenwick, MD is a medicare enrolled "Emergency Medicine" physician in Springfield, Missouri. His current practice location is 771 N Summercreek Ct, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 771-4548.

Jerry Fenwick is licensed to practice in Missouri (license number 110179) 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 1366477549.

Contact Information

	Jerry Fenwick, MD
	771 N Summercreek Ct, Springfield, MO 65802-7249
	(417) 771-4548
	Not Available

Map and Direction

Physician's Profile

Full Name	Jerry Fenwick
Gender	Male
Speciality	Emergency Medicine
Location	771 N Summercreek Ct, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366477549
Provider Enumeration Date: 07/12/2006
Last Update Date: 01/20/2021

Medicare PECOS Information:

PECOS PAC ID: 6608973698
Enrollment ID: I20070529000081

Medical Identifiers

Medical identifiers for Jerry Fenwick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366477549	NPI	-	NPPES
208524116	Medicaid	MO
1366477549	Medicaid	MO
G38753	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	18407 (South Carolina)	Secondary
207P00000X	Emergency Medicine	110179 (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. Jerry Fenwick allows following entities to bill medicare on his behalf.

Entity Name	417 Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689321218 PECOS PAC ID: 8921494535 Enrollment ID: O20220407002093

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. Jerry Fenwick 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
Jerry Fenwick, MD 771 N Summercreek Ct, Springfield, MO 65802-7249 Ph: (417) 714-4548	Jerry Fenwick, MD 771 N Summercreek Ct, Springfield, MO 65802-7249 Ph: (417) 771-4548

Reviews and Comments

Emergency Medicine Doctors in Springfield, MO

Janel M Ochse, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000
Gregory J Kutter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6583 Fax: 417-269-6573
Douglas Scott Ham, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6583 Fax: 417-269-6573
Daryl Thomas Steen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000
Dr. David Darmsteadter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2115
Jeremy O'shea, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 Fax: 417-269-6573
Dr. Jacob Lee Spain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000

Jerry Fenwick, MD - Medicare Emergency Medicine in Springfield, MO