Dr Jodi Fourt, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Roscoe, Illinois. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
5334 Williams Dr, Roscoe, Illinois. You can reach out to her office (for appointments etc.) via phone at
(224) 703-5595.
Dr Jodi Fourt is licensed to practice in Illinois (license number 071.010162) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1053662445.
Healthcare Provider's Profile
| Full Name | Dr Jodi Fourt |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 5334 Williams Dr, Roscoe, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jodi Fourt graduated from medical school in 2014
NPI Data:
- NPI Number: 1053662445
- Provider Enumeration Date: 09/25/2012
- Last Update Date: 05/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294153110
- Enrollment ID: I20200909002063
Medical Identifiers
Medical identifiers for Dr Jodi Fourt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053662445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 071.010162 (Illinois) | 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 Jodi Fourt allows following entities to bill medicare on her behalf.
| Entity Name | Vitae Health Medical Illinois, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
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| Entity Name | Jodi M Fourt |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376235184 PECOS PAC ID: 3072950773 Enrollment ID: O20240318000568 |
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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. Dr Jodi Fourt 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 Jodi Fourt, PSYD 13 Crossview Ct, Lake In The Hills, IL 60156-5841 Ph: (224) 703-5595 | Dr Jodi Fourt, PSYD 5334 Williams Dr, Roscoe, IL 61073-7320 Ph: (224) 703-5595 |
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