Fallyn Duque, MS ATR is a 
Art Therapist based in Oconomowoc, Wisconsin. Fallyn Duque is licensed to practice in Wisconsin (license number 20936) and her current practice location is 
W274 Hillendale Dr, Oconomowoc, Wisconsin. She can be reached at her office (for appointments etc.) via phone at 
(262) 352-2913.
NPI number for Fallyn Duque is 1295397560 and her current mailing address is W274 Hillendale Dr, Oconomowoc, Wisconsin. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295397560.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Fallyn Duque | 
|---|
| Gender | Female | 
|---|
| Speciality | Art Therapist | 
|---|
| Location | W274 Hillendale Dr, Oconomowoc, Wisconsin | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1295397560
- Provider Enumeration Date: 07/08/2019
- Last Update Date: 12/30/2024
 
		 
		 
Medical Identifiers
		Medical identifiers for Fallyn Duque such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1295397560 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary | 
| 221700000X | Art Therapist | 20936 (Wisconsin) | 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. Fallyn Duque is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Fallyn Duque, MS ATR W274 Hillendale Dr,
 Oconomowoc, WI 53066-5528
 Ph: (262) 352-2913
 | Fallyn Duque, MS ATR W274 Hillendale Dr,
 Oconomowoc, WI 53066-5528
 Ph: (262) 352-2913
 | 
		
		 
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