Dr Amber Lee Fasula, PSYD, BCN in Maitland, FL - Medicare Clinical Psychologist Provider

Dr Amber Lee Fasula, PSYD, BCN is a medicare enrolled "Psychologist - Clinical" provider in Maitland, Florida. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Neurogenesis Center Of Florida Pllc and her current practice location is 253 N Orlando Ave Ste 202, Maitland, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 790-4101.

Dr Amber Lee Fasula is licensed to practice in Florida (license number PY9333) 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 1730364472.

Contact Information

	Dr Amber Lee Fasula, PSYD, BCN
	253 N Orlando Ave Ste 202, Maitland, FL 32751
	(407) 790-4101
	(407) 277-4400

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Amber Lee Fasula
Gender	Female
Speciality	Clinical Psychologist
Experience	16 Years
Location	253 N Orlando Ave Ste 202, Maitland, Florida
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:

Dr Amber Lee Fasula graduated from medical school in 2008

NPI Data:

NPI Number: 1730364472
Provider Enumeration Date: 12/31/2007
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 3375872526
Enrollment ID: I20190912003164

Medical Identifiers

Medical identifiers for Dr Amber Lee Fasula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730364472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY9333 (Florida)	Primary
103TC0700X	Psychologist - Clinical	071007844 (Illinois)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Neurogenesis Center Of Florida Pllc	9739420365	2

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. Dr Amber Lee Fasula allows following entities to bill medicare on her behalf.

Entity Name	Neurogenesis Center Of Florida Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922474907 PECOS PAC ID: 9739420365 Enrollment ID: O20190912002470

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. Dr Amber Lee Fasula 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
Dr Amber Lee Fasula, PSYD, BCN 253 N Orlando Ave Ste 202, Maitland, FL 32751-5521 Ph: (407) 790-4101	Dr Amber Lee Fasula, PSYD, BCN 253 N Orlando Ave Ste 202, Maitland, FL 32751 Ph: (407) 790-4101

Reviews and Comments

Psychologist in Maitland, FL

Ambar Medina, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 414 Lake Howell Rd, Maitland, FL 32751 Phone: 407-637-2633
Dr. Kristin Patrice Girardot, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 500 N Maitland Ave, Suite 110, Maitland, FL 32751 Phone: 407-808-7852
Dr. Jennifer Tickal, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1555 N Maitland Ave, Maitland, FL 32751 Phone: 813-563-5676
Eduardo Ysern, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 331 N Maitland Ave Ste C3, Maitland, FL 32751 Phone: 407-634-3515
Elizabeth Carges, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 N Maitland Ave, Suite 110, Maitland, FL 32751 Phone: 407-628-5354 Fax: 407-628-0254
Louis Appiah-kubi, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 341 N Maitland Ave Ste 340, Maitland, FL 32751 Phone: 407-219-3281
Patricia Labrot, M,ED., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 237 Lookout Pl Ste 150, Maitland, FL 32751 Phone: 407-462-1323

Dr Amber Lee Fasula, PSYD, BCN - Medicare Psychologist in Maitland, FL