Eliane Fogue, is a
Counselor - Mental Health based in Worcester, Massachusetts. Eliane Fogue is licensed to practice in * (Not Available) (license number ) and her current practice location is
106 Lakewood St Apt 2, Worcester, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(774) 289-7973.
NPI number for Eliane Fogue is 1942600275 and her current mailing address is 106 Lakewood St Apt 2, Worcester, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942600275.
Provider's Profile
Full Name | Eliane Fogue |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 106 Lakewood St Apt 2, Worcester, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942600275
- Provider Enumeration Date: 08/22/2014
- Last Update Date: 01/12/2025
Medical Identifiers
Medical identifiers for Eliane Fogue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942600275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN9518901 (Massachusetts) | Secondary |
101YM0800X | Counselor - Mental Health | (* (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. Eliane Fogue is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Eliane Fogue, 106 Lakewood St Apt 2, Worcester, MA 01603-2056 Ph: (774) 289-7973 | Eliane Fogue, 106 Lakewood St Apt 2, Worcester, MA 01603-2056 Ph: (774) 289-7973 |
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