Dr Ferlicia Fergusson-prudent, PSYD, LMHC is a medicare enrolled "Psychologist - Clinical" provider in Auburn, Washington. Her current practice location is
309 E Main St Ste 5, Auburn, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 434-3825.
Dr Ferlicia Fergusson-prudent is licensed to practice in Washington (license number PY61370639) 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 1205317211.
Healthcare Provider's Profile
Full Name | Dr Ferlicia Fergusson-prudent |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 309 E Main St Ste 5, Auburn, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205317211
- Provider Enumeration Date: 08/27/2018
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587016670
- Enrollment ID: I20240112004123
Medical Identifiers
Medical identifiers for Dr Ferlicia Fergusson-prudent such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205317211 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MC6081228 (Washington) | Secondary |
103TC0700X | Psychologist - Clinical | PY61370639 (Washington) | 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 Ferlicia Fergusson-prudent allows following entities to bill medicare on her behalf.
Entity Name | Prudent Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386429082 PECOS PAC ID: 9032561121 Enrollment ID: O20240112004097 |
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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. Dr Ferlicia Fergusson-prudent 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 Ferlicia Fergusson-prudent, PSYD, LMHC 309 E Main St Ste 5, Auburn, WA 98002-5540 Ph: () - | Dr Ferlicia Fergusson-prudent, PSYD, LMHC 309 E Main St Ste 5, Auburn, WA 98002-5540 Ph: (253) 434-3825 |
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