Dr Ferlicia Fergusson-prudent, PSYD, LMHC is a medicare enrolled "Psychologist - Clinical" provider in Auburn, Washington. She graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Mental Health Counselor. 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 PY61370639) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1205317211.
Healthcare Provider's Profile
| Full Name | Dr Ferlicia Fergusson-prudent |
|---|
| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 3 Years |
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| Location | 309 E Main St Ste 5, Auburn, Washington |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ferlicia Fergusson-prudent graduated from medical school in 2022
NPI Data:
- NPI Number: 1205317211
- Provider Enumeration Date: 08/27/2018
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587016670
- Enrollment ID: I20250626000589
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) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY61370639 (Washington) | 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. 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 |
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