Ms Nicole Amalie Fontenot, PSYD is a medicare enrolled "Psychologist" provider in Corvallis, Oregon. Her current practice location is
3680 Nw Samaritan Dr, Corvallis, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 754-1267.
Ms Nicole Amalie Fontenot 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 1053833244.
Healthcare Provider's Profile
Full Name | Ms Nicole Amalie Fontenot |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3680 Nw Samaritan Dr, Corvallis, 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. |
Medical Education and Training:
- Ms Nicole Amalie Fontenot attended and graduated from in
NPI Data:
- NPI Number: 1053833244
- Provider Enumeration Date: 07/10/2017
- Last Update Date: 11/24/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Nicole Amalie Fontenot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053833244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | 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. Ms Nicole Amalie Fontenot 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 |
Ms Nicole Amalie Fontenot, PSYD 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: (541) 754-1267 | Ms Nicole Amalie Fontenot, PSYD 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: (541) 754-1267 |
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