Heather Fudge, is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
438 Charnelton St Ste 101, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at
(360) 870-3944.
Heather Fudge is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841560638.
Healthcare Provider's Profile
| Full Name | Heather Fudge |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 438 Charnelton St Ste 101, Eugene, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Heather Fudge graduated from medical school in 2018
NPI Data:
- NPI Number: 1841560638
- Provider Enumeration Date: 01/10/2012
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911309612
- Enrollment ID: I20210716000846
Medical Identifiers
Medical identifiers for Heather Fudge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841560638 | NPI | - | NPPES |
| 500660658 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (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. Heather Fudge allows following entities to bill medicare on her behalf.
| Entity Name | Willamette Community Health Solutions |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255379566
PECOS PAC ID: 5496667578
Enrollment ID: O20031105000745 |
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| Entity Name | Heather Fudge Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205592516
PECOS PAC ID: 1759772296
Enrollment ID: O20211217000196 |
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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. Heather Fudge 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 |
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Heather Fudge,
Po Box 11103,
Eugene, OR 97440-3303
Ph: (360) 870-3944 | Heather Fudge,
438 Charnelton St Ste 101,
Eugene, OR 97401-2760
Ph: (360) 870-3944 |
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