Dr Forest Tu Pavel, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fort Leavenworth, Kansas. His current practice location is
1301 N Warehouse Rd, Fort Leavenworth, Kansas. You can reach out to his office (for appointments etc.) via phone at
(913) 758-3757.
Dr Forest Tu Pavel is licensed to practice in Virginia (license number 0810005068) 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 1053601724.
Healthcare Provider's Profile
Full Name | Dr Forest Tu Pavel |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1301 N Warehouse Rd, Fort Leavenworth, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053601724
- Provider Enumeration Date: 04/14/2011
- Last Update Date: 06/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820397961
- Enrollment ID: I20230105002930
Medical Identifiers
Medical identifiers for Dr Forest Tu Pavel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053601724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6192 (Colorado) | Secondary |
103TC0700X | Psychologist - Clinical | 2022013155 (Missouri) | Secondary |
103TC0700X | Psychologist - Clinical | 03100 (Kansas) | Secondary |
103TC0700X | Psychologist - Clinical | 0810005068 (Virginia) | 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 Forest Tu Pavel allows following entities to bill medicare on his behalf.
Entity Name | Flint Hills Neuropsychology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881979052 PECOS PAC ID: 3375717606 Enrollment ID: O20111122000472 |
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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 Forest Tu Pavel 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 Forest Tu Pavel, PSYD 1816 Nw 63rd Ter, Kansas City, MO 64151-4826 Ph: (540) 421-2357 | Dr Forest Tu Pavel, PSYD 1301 N Warehouse Rd, Fort Leavenworth, KS 66027 Ph: (913) 758-3757 |
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