Dr Jodi Fourt, PSYD - Medicare Psychologist in Roscoe, IL

  1. Home
  2. Psychologists
  3. IL
  4. Roscoe
Dr Jodi Fourt, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Roscoe, Illinois. Her current practice location is 5334 Williams Dr, Roscoe, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 703-5595.

Dr Jodi Fourt is licensed to practice in Illinois (license number 071.010162) 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 1053662445.

Contact Information

Dr Jodi Fourt, PSYD
5334 Williams Dr,
Roscoe, IL 61073-7320
(224) 703-5595
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jodi Fourt
GenderFemale
SpecialityPsychologist - Clinical
Location5334 Williams Dr, Roscoe, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053662445
  • Provider Enumeration Date: 09/25/2012
  • Last Update Date: 05/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5294153110
  • Enrollment ID: I20200909002063

Medical Identifiers

Medical identifiers for Dr Jodi Fourt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053662445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 071.010162 (Illinois)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 Jodi Fourt allows following entities to bill medicare on her behalf.
Entity NameVitae Health Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174013452
PECOS PAC ID: 2365798410
Enrollment ID: O20180703002838
Entity NameJodi M Fourt
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376235184
PECOS PAC ID: 3072950773
Enrollment ID: O20240318000568

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 Jodi Fourt 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
Dr Jodi Fourt, PSYD
13 Crossview Ct,
Lake In The Hills, IL 60156-5841

Ph: (224) 703-5595		Dr Jodi Fourt, PSYD
5334 Williams Dr,
Roscoe, IL 61073-7320

Ph: (224) 703-5595

Reviews and Comments


Psychologist in Roscoe, IL

Cindy A Stear, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 5334 Williams Dr, Roscoe, IL 61073
Phone: 815-389-0123    Fax: 866-813-6462
Joanne M Langley, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 11520 Bend River Rd, Roscoe, IL 61073
Phone: 815-623-9515    

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.