Kendra Fullmer, in Saint Louis, MO - Medicare Anesthesiologist Assistant

Kendra Fullmer, is a medicare enrolled "Anesthesiologist Assistant" in Saint Louis, Missouri. Her current practice location is 1465 S Grand Blvd Dept Of, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 678-3044.

Kendra Fullmer is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891201539.

Contact Information

	Kendra Fullmer,
	1465 S Grand Blvd Dept Of, Saint Louis, MO 63104-1003
	(314) 678-3044
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendra Fullmer
Gender	Female
Speciality	Anesthesiologist Assistant
Location	1465 S Grand Blvd Dept Of, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891201539
Provider Enumeration Date: 12/18/2017
Last Update Date: 12/18/2017

Medicare PECOS Information:

PECOS PAC ID: 7012270192
Enrollment ID: I20191126002877

Medical Identifiers

Medical identifiers for Kendra Fullmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891201539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	(* (Not Available))	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. Kendra Fullmer allows following entities to bill medicare on her behalf.

Entity Name	Iu Anesthesiology Associates-pediatrics, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083651335 PECOS PAC ID: 5698770527 Enrollment ID: O20060927000033

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. Kendra Fullmer 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
Kendra Fullmer, 1129 Babler Park Dr, Wildwood, MO 63038-1310 Ph: () -	Kendra Fullmer, 1465 S Grand Blvd Dept Of, Saint Louis, MO 63104-1003 Ph: (314) 678-3044

Reviews and Comments

Anesthesiologist Assistant Nurses in Saint Louis, MO

Jeremy Stephen Colyer, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 636-386-7222 Fax: 636-200-4036
Mrs. Maria Jones, C-AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141 Phone: 636-386-9224 Fax: 636-200-4243
Alexander Sextro, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Saint Louis, MO 63136 Phone: 314-653-5000
Alexis Haas Stewart, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-5700
Mr. Brian J Ho, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 615 S New Ballas Rd, Dept. Of Anesthesiology, Saint Louis, MO 63141 Phone: 314-251-4687 Fax: 636-200-4243
Laheart Marie Rodney, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1465 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-268-7267
Mr. Nick Balarama Rodriguez, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141 Phone: 636-386-9224 Fax: 636-386-7679

Kendra Fullmer, - Medicare Anesthesiologist Assistant in Saint Louis, MO