Dr Jason Wayne Rundell-little, MD is a medicare enrolled "Emergency Medicine" physician in Andover, Kansas. His current practice location is
1124 W 21st St, Andover, Kansas. You can reach out to his office (for appointments etc.) via phone at
(316) 300-4911.
Dr Jason Wayne Rundell-little is licensed to practice in Kansas (license number 04-30969) 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 1215988282.
Physician's Profile
| Full Name | Dr Jason Wayne Rundell-little |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1124 W 21st St, Andover, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215988282
- Provider Enumeration Date: 05/15/2006
- Last Update Date: 12/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789609264
- Enrollment ID: I20051013000501
Medical Identifiers
Medical identifiers for Dr Jason Wayne Rundell-little such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215988282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 04-30969 (Maine) | Secondary |
| 207Q00000X | Family Medicine | 04-30969 (Kansas) | Secondary |
| 207P00000X | Emergency Medicine | 04-30969 (Kansas) | 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 Wayne Rundell-little allows following entities to bill medicare on his behalf.
| Entity Name | Kansas Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255380127
PECOS PAC ID: 2668476862
Enrollment ID: O20061109000659 |
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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 Jason Wayne Rundell-little 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 |
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Dr Jason Wayne Rundell-little, MD
2216 N. Williamsgate,
Wichita, KS 67228-8064
Ph: (316) 207-7220 | Dr Jason Wayne Rundell-little, MD
1124 W 21st St,
Andover, KS 67002-5500
Ph: (316) 300-4911 |
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