Dr Phillip Gene Fellwock, PSYD in Fort Leonard Wood, MO

Dr Phillip Gene Fellwock, PSYD is a medicare enrolled "Psychologist" provider in Fort Leonard Wood, Missouri. His current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 596-0417.

Dr Phillip Gene Fellwock is licensed to practice in Missouri (license number 2008029040) 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 1396076923.

Contact Information

	Dr Phillip Gene Fellwock, PSYD
	4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098
	(573) 596-0417
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Phillip Gene Fellwock
Gender	Male
Speciality	Psychologist
Location	4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396076923
Provider Enumeration Date: 01/21/2010
Last Update Date: 02/09/2023

Medicare PECOS Information:

PECOS PAC ID: 5193121614
Enrollment ID: I20210909000821

Medical Identifiers

Medical identifiers for Dr Phillip Gene Fellwock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396076923	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2008029040 (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. Dr Phillip Gene Fellwock 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
Dr Phillip Gene Fellwock, PSYD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (417) 235-2320	Dr Phillip Gene Fellwock, PSYD 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0417

Reviews and Comments

Psychologist in Fort Leonard Wood, MO

Dr. Daniel A Good, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035
Dr. Debbie D. Love, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-7726
Mr. Alan Henry Storey Jr., M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave # 1267, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Dr. Kirsten Marie Pollick, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Dr. Michelle L Whitlock, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-1507
Dr. Joel Christopher Bujarski, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524

Dr Phillip Gene Fellwock, PSYD - Medicare Psychologist in Fort Leonard Wood, MO