Dr Jason Carter Fairman, PSYD in Lees Summit, MO - Medicare Psychologist Provider

Dr Jason Carter Fairman, PSYD is a medicare enrolled "Psychologist" provider in Lees Summit, Missouri. His current practice location is 2900 Sw 13th St, Lees Summit, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 516-7114.

Dr Jason Carter Fairman is licensed to practice in Missouri (license number 2004033756) 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 1417033895.

Contact Information

	Dr Jason Carter Fairman, PSYD
	2900 Sw 13th St, Lees Summit, MO 64081-3800
	(816) 516-7114
	(816) 437-7399

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jason Carter Fairman
Gender	Male
Speciality	Psychologist
Location	2900 Sw 13th St, Lees Summit, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417033895
Provider Enumeration Date: 10/28/2006
Last Update Date: 05/18/2009

Medicare PECOS Information:

PECOS PAC ID: 9830142348
Enrollment ID: I20050224000576

Medical Identifiers

Medical identifiers for Dr Jason Carter Fairman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417033895	NPI	-	NPPES
191215	Other	MO	BLUE CROSS BLUE SHIELD
498452606	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2004033756 (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. Dr Jason Carter Fairman allows following entities to bill medicare on his behalf.

Entity Name	Midamericare Limited Liability Company
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922322676 PECOS PAC ID: 4284768516 Enrollment ID: O20100823000111

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. Dr Jason Carter Fairman 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
Dr Jason Carter Fairman, PSYD 2900 Sw 13th St, Lees Summit, MO 64081-3800 Ph: (816) 516-7114	Dr Jason Carter Fairman, PSYD 2900 Sw 13th St, Lees Summit, MO 64081-3800 Ph: (816) 516-7114

Reviews and Comments

Psychologist in Lees Summit, MO

Dr. Susan Farber Barngrover, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 409 Se Douglas St, Lees Summit, MO 64063 Phone: 816-524-5818 Fax: 816-524-5819
Dr. Scott J Symes, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3367 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-246-0111 Fax: 866-335-7993
Clara Elliott, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1272 Ne Windsor Dr, Lees Summit, MO 64086 Phone: 816-246-4465
Dr. Supavan K Brown, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 300 Se 2nd St, Suite 100, Lees Summit, MO 64063 Phone: 816-404-6189 Fax: 816-525-2251
Dr. Craig A Erisman, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2900 Sw 13th St, Lees Summit, MO 64081 Phone: 816-516-7114
Lawrence Lanyegha Ndango, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2305 Se 5th Ter, Lees Summit, MO 64063 Phone: 816-419-1294
Dr. Susan Lauderdale Waldo, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3904 Sw Windsong Dr, Lees Summit, MO 64082 Phone: 660-596-2400

Dr Jason Carter Fairman, PSYD - Medicare Psychologist in Lees Summit, MO