Jack Fennel, DO - Medicare Family Medicine in Fort Leonard Wood, MO

  1. Home
  2. Family Medicine
  3. MO
  4. Fort Leonard Wood
Jack Fennel, DO is a medicare enrolled "Family Medicine - Adult Medicine" physician in Fort Leonard Wood, Missouri. His current practice location is 126 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 329-8305.

Jack Fennel is licensed to practice in Missouri (license number R9D28) 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 1356300271.

Contact Information

Jack Fennel, DO
126 Missouri Ave,
Fort Leonard Wood, MO 65473-8952
(573) 329-8305
(573) 329-8302

Map and Direction




Physician's Profile

Full NameJack Fennel
GenderMale
SpecialityFamily Medicine - Adult Medicine
Location126 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356300271
  • Provider Enumeration Date: 03/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0446496244
  • Enrollment ID: I20130424000416

Medical Identifiers

Medical identifiers for Jack Fennel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356300271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R9D28 (Missouri)Primary
207QA0505XFamily Medicine - Adult Medicine R9D28 (Missouri)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. Jack Fennel 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 AddressPractice Location Address
Jack Fennel, DO
126 Missouri Ave,
Fort Leonard Wood, MO 65473-8952

Ph: (573) 329-8305		Jack Fennel, DO
126 Missouri Ave,
Fort Leonard Wood, MO 65473-8952

Ph: (573) 329-8305

Reviews and Comments


Family Medicine Doctors in Fort Leonard Wood, MO

Kenisha Shawnta Pemberton, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    
Jessica Kwong Yun Chan, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    
Dr. Lyman Kelton Henson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-1680    Fax: 573-596-0423
Dr. Brian W Grantham, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    
Kristen Anne Tobin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: General Leonard Wood Army Community Hospital, 4430 Missouri Avenue, Fort Leonard Wood, MO 65473
Phone: 573-596-1765    Fax: 573-596-0836
Christine Strange, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473
Phone: 573-596-1765    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.