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

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



Provider's Profile

Full NameKendra Fullmer
GenderFemale
SpecialityAnesthesiologist Assistant
Location1465 S Grand Blvd Dept Of, Saint Louis, Missouri
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1891201539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist 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 NameIu Anesthesiology Associates-pediatrics, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083651335
PECOS PAC ID: 5698770527
Enrollment ID: O20060927000033

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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. 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 AddressPractice 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

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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

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