Ellen D S Fuqua, MS, CAS is a
Psychologist - School based in South Cairo, New York. Ellen D S Fuqua is licensed to practice in New York (license number 539948) and her current practice location is
2395 Route 23b, Early Childhood Learning Center Of Greene County, South Cairo, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 622-8382.
NPI number for Ellen D S Fuqua is 1295048775 and her current mailing address is 2395 Route 23b, Early Childhood Learning Center Of Greene County, South Cairo, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295048775.
Healthcare Provider's Profile
Full Name | Ellen D S Fuqua |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 2395 Route 23b, South Cairo, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295048775
- Provider Enumeration Date: 07/26/2010
- Last Update Date: 07/26/2010
Medical Identifiers
Medical identifiers for Ellen D S Fuqua such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295048775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 539948 (New York) | 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. Ellen D S Fuqua 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 |
Ellen D S Fuqua, MS, CAS 2395 Route 23b, Early Childhood Learning Center Of Greene County, South Cairo, NY 12482-1220 Ph: (518) 622-8382 | Ellen D S Fuqua, MS, CAS 2395 Route 23b, Early Childhood Learning Center Of Greene County, South Cairo, NY 12482-1220 Ph: (518) 622-8382 |
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