Dr Nicholas Dale Fogleman, PHD in Carrboro, NC - Medicare Psychologist Provider

Dr Nicholas Dale Fogleman, PHD is a medicare enrolled "Psychologist" provider in Carrboro, North Carolina. His current practice location is 101 Renee Lynn Ct, Carrboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 966-5171.

Dr Nicholas Dale Fogleman is licensed to practice in North Carolina (license number 103414) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205593332.

Contact Information

	Dr Nicholas Dale Fogleman, PHD
	101 Renee Lynn Ct, Carrboro, NC 27510-6511
	(919) 966-5171
	(919) 966-2230

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicholas Dale Fogleman
Gender	Male
Speciality	Psychologist
Location	101 Renee Lynn Ct, Carrboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205593332
Provider Enumeration Date: 11/23/2021
Last Update Date: 02/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9638561855
Enrollment ID: I20220121000048

Medical Identifiers

Medical identifiers for Dr Nicholas Dale Fogleman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205593332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	103414 (North Carolina)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	103414 (North Carolina)	Secondary
103T00000X	Psychologist	103414 (North Carolina)	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. Dr Nicholas Dale Fogleman allows following entities to bill medicare on his behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

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 Nicholas Dale Fogleman 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 Nicholas Dale Fogleman, PHD 3219 Oxford Dr, Durham, NC 27707-3844 Ph: (402) 305-3800	Dr Nicholas Dale Fogleman, PHD 101 Renee Lynn Ct, Carrboro, NC 27510-6511 Ph: (919) 966-5171

Reviews and Comments

Psychologist in Carrboro, NC

Dr. Lauren Turner Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Renee Lynn Ct, Cidd, Carrboro, NC 27510 Phone: 919-966-0506 Fax: 919-966-2230
Carolyn Marie Kessler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 W Main St, Carrboro, NC 27510 Phone: 919-338-2868
Sarah Furlong, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 N Greensboro St, Carrboro, NC 27510 Phone: 919-962-4919
Dr. Christina M C Orahovats, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Renee Lynn Ct, Carrboro, NC 27510 Phone: 919-966-5156 Fax: 919-966-4003
Jamie A Allison, M.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 209 Lloyd St, Suite 230, Carrboro, NC 27510 Phone: 919-886-4437
Dr. Signe Boucher Naftel, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 Renee Lynn Ct, Carrboro, NC 27510 Phone: 919-619-0784

Dr Nicholas Dale Fogleman, PHD - Medicare Psychologist in Carrboro, NC