Emily Fossum, LPCC in Espanola, NM - Medicare Counselor Provider

Emily Fossum, LPCC is a medicare enrolled "Counselor - Professional" provider in Espanola, New Mexico. Her current practice location is 835 Spruce St Ste C&d, Espanola, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 747-7400.

Emily Fossum is licensed to practice in New Mexico (license number CCMH0224041) 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 1528501079.

Contact Information

	Emily Fossum, LPCC
	835 Spruce St Ste C&d, Espanola, NM 87532-3455
	(505) 747-7400
	(505) 747-7403

Map and Direction

Healthcare Provider's Profile

Full Name	Emily Fossum
Gender	Female
Speciality	Counselor - Professional
Location	835 Spruce St Ste C&d, Espanola, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528501079
Provider Enumeration Date: 11/30/2016
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6002258191
Enrollment ID: I20240521001837

Medical Identifiers

Medical identifiers for Emily Fossum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528501079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC01318 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	CCMH0224041 (New Mexico)	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. Emily Fossum allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414

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. Emily Fossum 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
Emily Fossum, LPCC 835 Spruce St Ste C&d, Espanola, NM 87532-3455 Ph: (505) 747-7400	Emily Fossum, LPCC 835 Spruce St Ste C&d, Espanola, NM 87532-3455 Ph: (505) 747-7400

Reviews and Comments

Counselor in Espanola, NM

Cassie Garcia, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081
Simon M Johnson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Suite H, Espanola, NM 87532 Phone: 505-747-0081
Leann A Murray, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Suite H, Espanola, NM 87532 Phone: 505-747-0081
Peter H Goodwin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1114 Plaza Del Norte, Suite B, Espanola, NM 87532 Phone: 505-753-8933 Fax: 505-753-9811
Ashley Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081
Sara E Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 N Riverside Dr, Espanola, NM 87532 Phone: 505-747-7400
Christopher Alcala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Calle De La Merced, Espanola, NM 87532 Phone: 505-747-0081

Emily Fossum, LPCC - Medicare Counselor in Espanola, NM