Dr Jonathon Lee Fallis, DPM is a medicare enrolled "Podiatrist" provider in Moberly, Missouri. He went to College Of Podiatric Med And Surgery, Des Moines University and graduated in 1996 and has 28 years of diverse experience with area of expertise as Podiatry. His current practice location is
1513 Union Ave, Suite 1400, Moberly, Missouri. You can reach out to his office (for appointments etc.) via phone at
(660) 263-6677.
Dr Jonathon Lee Fallis is licensed to practice in Missouri (license number 2002006341) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659391084.
Healthcare Provider's Profile
| Full Name | Dr Jonathon Lee Fallis |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 28 Years |
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| Location | 1513 Union Ave, Moberly, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathon Lee Fallis attended and graduated from College Of Podiatric Med And Surgery, Des Moines University in 1996
NPI Data:
- NPI Number: 1659391084
- Provider Enumeration Date: 07/20/2006
- Last Update Date: 10/19/2015
Medicare PECOS Information:
- PECOS PAC ID: 1355398884
- Enrollment ID: I20050708000463
Medical Identifiers
Medical identifiers for Dr Jonathon Lee Fallis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659391084 | NPI | - | NPPES |
| P00242773 | Other | IL | RAILROAD MEDICARE |
| 154392 | Other | MO | BLUE CROSS/BLUE SHEILD |
| 305751208 | Medicaid | MO | |
| P00241817 | Other | MO | RAILROAD MEDICARE |
| 5502300001 | Other | MO | DMERC |
| P00242773 | Other | MO | RAILROAD MEDICARE |
| 061748265652701 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 2002006341 (Missouri) | Primary |
Medical Facilities Affiliation
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 Jonathon Lee Fallis allows following entities to bill medicare on his behalf.
| Provider Name | Jonathon Fallis, Dpm, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1154341592
PECOS PAC ID: 3375540057
Enrollment ID: O20061108000419 |
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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 Jonathon Lee Fallis 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 Jonathon Lee Fallis, DPM
1513 Union Ave, Suite 1400,
Moberly, MO 65270
Ph: (660) 263-6677 | Dr Jonathon Lee Fallis, DPM
1513 Union Ave, Suite 1400,
Moberly, MO 65270
Ph: (660) 263-6677 |
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