Jon Medders, LCSW is a
Social Worker - Clinical based in Fayetteville, Arkansas. Jon Medders is licensed to practice in Arkansas (license number 7016-C) and his current practice location is
111 E Davidson St, Fayetteville, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 409-6059.
NPI number for Jon Medders is 1316386881 and his current mailing address is 111 E Davidson St, Fayetteville, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316386881.
Healthcare Provider's Profile
Full Name | Jon Medders |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 111 E Davidson St, Fayetteville, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316386881
- Provider Enumeration Date: 06/18/2013
- Last Update Date: 04/15/2021
Medical Identifiers
Medical identifiers for Jon Medders such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316386881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (Arkansas) | Secondary |
1041C0700X | Social Worker - Clinical | 7016-C (Arkansas) | Primary |
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. Jon Medders is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jon Medders, LCSW 111 E Davidson St, Fayetteville, AR 72701-3413 Ph: (479) 409-6059 | Jon Medders, LCSW 111 E Davidson St, Fayetteville, AR 72701-3413 Ph: (479) 409-6059 |
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