Dr Jordan S Fuller, PHD in Kansas City, MO - Medicare Psychologist Provider

Dr Jordan S Fuller, PHD is a medicare enrolled "Psychologist" provider in Kansas City, Missouri. His current practice location is 3011 Baltimore Ave, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at (159) 874-6836.

Dr Jordan S Fuller is licensed to practice in Michigan (license number 6301019267) 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 1093598484.

Contact Information

	Dr Jordan S Fuller, PHD
	3011 Baltimore Ave, Kansas City, MO 64108-3403
	(159) 874-6836
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jordan S Fuller
Gender	Male
Speciality	Psychologist
Location	3011 Baltimore Ave, Kansas City, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093598484
Provider Enumeration Date: 08/17/2023
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7517303746
Enrollment ID: I20240311002544

Medical Identifiers

Medical identifiers for Dr Jordan S Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093598484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301019267 (Michigan)	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 Jordan S Fuller allows following entities to bill medicare on his behalf.

Entity Name	Ability Kc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598746836 PECOS PAC ID: 0143116368 Enrollment ID: O20040225000330

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 Jordan S Fuller 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 Jordan S Fuller, PHD 17751 Wexford St, Roseville, MI 48066-4629 Ph: (913) 449-6522	Dr Jordan S Fuller, PHD 3011 Baltimore Ave, Kansas City, MO 64108-3403 Ph: (159) 874-6836

Reviews and Comments

Psychologist in Kansas City, MO

Dr. Julie Goldstein, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 E 59th St, Kansas City, MO 64113 Phone: 816-363-1898 Fax: 816-822-7711
Dr. Sara Lee Fiene, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 E Linwood Blvd, Kansas City, MO 64128 Phone: 816-861-4700
Dr. Sally Pollock, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8080 Ward Pkwy, Suite 230, Kansas City, MO 64114 Phone: 816-822-1922 Fax: 816-822-2248
Mr. Sandra S Gray, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8080 Ward Pkwy, 230, Kansas City, MO 64114 Phone: 816-822-1922 Fax: 816-822-2248
Maria D Korth, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3674
Dr. Rex Warren Bull, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 Garfield Ave, Kansas City, MO 64124 Phone: 816-404-6346 Fax: 816-404-6347
Dr. Louise M Glotzbach, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 E Red Bridge Rd, Suite 304, Kansas City, MO 64131 Phone: 816-942-1811 Fax: 816-942-0419

Dr Jordan S Fuller, PHD - Medicare Psychologist in Kansas City, MO