Emily Ann Fusiek, BSN, RN is a medicare enrolled "Pediatrics" in Lafayette, Indiana. Her current practice location is
2600 Ferry St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 448-8000.
Emily Ann Fusiek is licensed to practice in Indiana (license number 71010397A) 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 1053953695.
Provider's Profile
Full Name | Emily Ann Fusiek |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2600 Ferry St, Lafayette, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053953695
- Provider Enumeration Date: 10/15/2019
- Last Update Date: 12/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 5395164560
- Enrollment ID: I20201007003352
Medical Identifiers
Medical identifiers for Emily Ann Fusiek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053953695 | NPI | - | NPPES |
300043065 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28223894A (Indiana) | Secondary |
208000000X | Pediatrics | 71010397A (Indiana) | 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. Emily Ann Fusiek allows following entities to bill medicare on her behalf.
Entity Name | Arnett Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
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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. Emily Ann Fusiek 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 |
Emily Ann Fusiek, BSN, RN 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: () - | Emily Ann Fusiek, BSN, RN 2600 Ferry St, Lafayette, IN 47904-3055 Ph: (765) 448-8000 |
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