Dr Ferlicia Fergusson-prudent, PSYD, LMHC in Auburn, WA

Dr Ferlicia Fergusson-prudent, PSYD, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Auburn, Washington. Her current practice location is 309 E Main St Ste 5, Auburn, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 434-3825.

Dr Ferlicia Fergusson-prudent is licensed to practice in Washington (license number MC6081228) 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 1205317211.

Contact Information

	Dr Ferlicia Fergusson-prudent, PSYD, LMHC
	309 E Main St Ste 5, Auburn, WA 98002-5540
	(253) 434-3825
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ferlicia Fergusson-prudent
Gender	Female
Speciality	Counselor - Mental Health
Location	309 E Main St Ste 5, Auburn, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205317211
Provider Enumeration Date: 08/27/2018
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4587016670
Enrollment ID: I20240112004123

Medical Identifiers

Medical identifiers for Dr Ferlicia Fergusson-prudent such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205317211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MC6081228 (Washington)	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 Ferlicia Fergusson-prudent allows following entities to bill medicare on her behalf.

Entity Name	Prudent Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386429082 PECOS PAC ID: 9032561121 Enrollment ID: O20240112004097

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 Ferlicia Fergusson-prudent 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 Ferlicia Fergusson-prudent, PSYD, LMHC 309 E Main St Ste 5, Auburn, WA 98002-5540 Ph: () -	Dr Ferlicia Fergusson-prudent, PSYD, LMHC 309 E Main St Ste 5, Auburn, WA 98002-5540 Ph: (253) 434-3825

Reviews and Comments

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Dr Ferlicia Fergusson-prudent, PSYD, LMHC - Medicare Counselor in Auburn, WA