Dr Loretta Fuge, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mansfield, Missouri. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Greater Ozarks Rural Psychologists Llc and her current practice location is
827 W Commercial St, Mansfield, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 924-8188.
Dr Loretta Fuge is licensed to practice in Missouri (license number 2005028862) 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 1053425769.
Healthcare Provider's Profile
| Full Name | Dr Loretta Fuge |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 20 Years |
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| Location | 827 W Commercial St, Mansfield, Missouri |
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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:
- Dr Loretta Fuge graduated from medical school in 2004
NPI Data:
- NPI Number: 1053425769
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 03/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 4688692015
- Enrollment ID: I20051104000003
Medical Identifiers
Medical identifiers for Dr Loretta Fuge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053425769 | NPI | - | NPPES |
| 1285906107 | Other | MO | CORNERSTONE PSYCHOLOGICAL SERVICES |
| 498979111 | Medicaid | MO | |
| 218034 | Other | MO | BLUE CROSS BLUE SHIELD |
| 1366779100 | Other | MO | GROUP PRACTICE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 2005028862 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Greater Ozarks Rural Psychologists Llc | 1759424997 | 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 Loretta Fuge allows following entities to bill medicare on her behalf.
| Entity Name | Greater Ozarks Rural Psychologists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366779100
PECOS PAC ID: 1759424997
Enrollment ID: O20100210000240 |
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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. Dr Loretta Fuge 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 Loretta Fuge, PSYD
827 W. Commercial, P.o. Box 47,
Mansfield, MO 65704-0677
Ph: (417) 924-8188 | Dr Loretta Fuge, PSYD
827 W Commercial St,
Mansfield, MO 65704-9520
Ph: (417) 924-8188 |
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