Mr James Adrian Fogarty, EDD is a
Psychologist - Clinical based in Rockton, Illinois. Mr James Adrian Fogarty is licensed to practice in Illinois (license number 071-003-659) and his current practice location is
122 S. Prairie St. Suite A, Rockton, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 624-8383.
NPI number for Mr James Adrian Fogarty is 1891085767 and his current mailing address is 122 S. Prairie St Suite A, Rockton, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891085767.
Healthcare Provider's Profile
Full Name | Mr James Adrian Fogarty |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 122 S. Prairie St. Suite A, Rockton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891085767
- Provider Enumeration Date: 04/13/2011
- Last Update Date: 04/27/2016
Medical Identifiers
Medical identifiers for Mr James Adrian Fogarty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891085767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071.003659 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 071-003-659 (Illinois) | 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. Mr James Adrian Fogarty 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 |
Mr James Adrian Fogarty, EDD 122 S. Prairie St Suite A, Rockton, IL 61072 Ph: (815) 624-8383 | Mr James Adrian Fogarty, EDD 122 S. Prairie St. Suite A, Rockton, IL 61072 Ph: (815) 624-8383 |
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