Stephanie Fudge, MA, LPC, NCC in North Wales, PA

Stephanie Fudge, MA, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in North Wales, Pennsylvania. Her current practice location is 1364 Welsh Rd, North Wales, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 767-7096.

Stephanie Fudge is licensed to practice in Pennsylvania (license number PC011763) 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 1477102036.

Contact Information

	Stephanie Fudge, MA, LPC, NCC
	1364 Welsh Rd, North Wales, PA 19454-1913
	(215) 767-7096
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Fudge
Gender	Female
Speciality	Counselor - Professional
Location	1364 Welsh Rd, North Wales, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477102036
Provider Enumeration Date: 09/06/2019
Last Update Date: 09/06/2019

Medicare PECOS Information:

PECOS PAC ID: 9931634441
Enrollment ID: I20241120003870

Medical Identifiers

Medical identifiers for Stephanie Fudge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477102036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC011763 (Pennsylvania)	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. Stephanie Fudge allows following entities to bill medicare on her behalf.

Entity Name	Optum Behavioral Care Of Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811778988 PECOS PAC ID: 9436502879 Enrollment ID: O20240403001617

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. Stephanie 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
Stephanie Fudge, MA, LPC, NCC 1364 Welsh Rd, North Wales, PA 19454-1913 Ph: (215) 767-7096	Stephanie Fudge, MA, LPC, NCC 1364 Welsh Rd, North Wales, PA 19454-1913 Ph: (215) 767-7096

Reviews and Comments

Counselor in North Wales, PA

Colleen Torphy, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N Main St, North Wales, PA 19454 Phone: 215-770-0714
Mrs. Ellie Stacey Ettman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1364 Welsh Rd, North Wales, PA 19454 Phone: 215-327-3791
Ms. Laurie F Langbein, LPC, NCC, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Chamberlain Cir, North Wales, PA 19454 Phone: 215-540-1217
Bonnie M Steich, M.A., LPC, ACS, NCC Counselor Medicare: Medicare Enrolled Practice Location: 311 N Sumneytown Pike, North Wales, PA 19454 Phone: 267-443-0700
Mrs. Rachel Elizabeth Davis, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 Preston Dr, North Wales, PA 19454 Phone: 215-498-7443
Mr. David John Durso, Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 N Sumneytown Pike, North Wales, PA 19454 Phone: 215-767-7096
Mrs. Lauren Biase, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 W Walnut St, North Wales, PA 19454 Phone: 215-760-8411

Stephanie Fudge, MA, LPC, NCC - Medicare Counselor in North Wales, PA