Emily Marie Fukuda, PA is a medicare enrolled "Physician Assistant" physician in Chicago Ridge, Illinois. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Vascular Surgery Associates Pllc and her current practice location is
10258 Southwest Hwy Ste A, Chicago Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 346-9533.
Emily Marie Fukuda is licensed to practice in Illinois (license number 085.007835) 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 1356992341.
Physician's Profile
| Full Name | Emily Marie Fukuda |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 10258 Southwest Hwy Ste A, Chicago Ridge, Illinois |
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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:
- Emily Marie Fukuda graduated from medical school in 2019
NPI Data:
- NPI Number: 1356992341
- Provider Enumeration Date: 09/22/2019
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456783596
- Enrollment ID: I20210331002138
Medical Identifiers
Medical identifiers for Emily Marie Fukuda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356992341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0120X | Surgery - Pediatric Surgery | 50.006108RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.006108RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 085.007835 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vascular Surgery Associates Pllc | 0345678132 | 6 |
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. Emily Marie Fukuda 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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Emily Marie Fukuda, PA
10258 Southwest Hwy Ste A,
Chicago Ridge, IL 60415-1361
Ph: () - | Emily Marie Fukuda, PA
10258 Southwest Hwy Ste A,
Chicago Ridge, IL 60415-1361
Ph: (708) 346-9533 |
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