Emi Fukuda, is a medicare enrolled "Psychologist - Counseling" provider in Monroe, Connecticut. Her current practice location is
731 Main St Ste 122, Monroe, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 261-7090.
Emi Fukuda is licensed to practice in Connecticut (license number 003650) 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 1851855910.
Healthcare Provider's Profile
Full Name | Emi Fukuda |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 731 Main St Ste 122, Monroe, Connecticut |
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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: 1851855910
- Provider Enumeration Date: 01/23/2019
- Last Update Date: 10/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 3476904830
- Enrollment ID: I20240110001216
Medical Identifiers
Medical identifiers for Emi Fukuda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851855910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 003650 (Connecticut) | 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. Emi Fukuda allows following entities to bill medicare on her behalf.
Entity Name | Key Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114393493 PECOS PAC ID: 6204185010 Enrollment ID: O20180827003149 |
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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. Emi Fukuda 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 |
Emi Fukuda, 75 Homestead Pl # 1, New Rochelle, NY 10801-4307 Ph: (914) 380-2352 | Emi Fukuda, 731 Main St Ste 122, Monroe, CT 06468-2872 Ph: (203) 261-7090 |
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