Daniel Lee Fudge, PHD - Medicare Psychologist in Hamden, CT

Daniel Lee Fudge, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hamden, Connecticut. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Behavioral Health Consultants, Llc and his current practice location is 2319 Whitney Ave Ste 5d, Hamden, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 288-2554.

Daniel Lee Fudge is licensed to practice in Connecticut (license number 3314) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023139227.

Contact Information

Daniel Lee Fudge, PHD
2319 Whitney Ave Ste 5d,
Hamden, CT 06518-3534
(203) 288-2554
(203) 248-3690



Healthcare Provider's Profile

Full NameDaniel Lee Fudge
GenderMale
SpecialityClinical Psychologist
Experience17 Years
Location2319 Whitney Ave Ste 5d, Hamden, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Daniel Lee Fudge attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2007
  NPI Data:
  • NPI Number: 1023139227
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 05/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214101245
  • Enrollment ID: I20150811003653

Medical Identifiers

Medical identifiers for Daniel Lee Fudge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023139227NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 3314 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Behavioral Health Consultants, Llc90320184114

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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. Daniel Lee Fudge allows following entities to bill medicare on his behalf.
Entity NameBehavioral Health Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447269410
PECOS PAC ID: 9032018411
Enrollment ID: O20040105000688

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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. Daniel Lee Fudge 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 AddressPractice Location Address
Daniel Lee Fudge, PHD
2319 Whitney Ave Ste 5d,
Hamden, CT 06518-3534

Ph: (203) 288-3554
Daniel Lee Fudge, PHD
2319 Whitney Ave Ste 5d,
Hamden, CT 06518-3534

Ph: (203) 288-2554

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Psychologist in Hamden, CT

Dr. Traci Hodes, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 3490 Whitney Ave, Ste 205, Hamden, CT 06518
Phone: 203-671-4182    
Dr. Purvi Deepak Shah, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2405 Whitney Ave, Apt 306, Hamden, CT 06518
Phone: 516-205-6080    
Michael A Hoge, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 95 Circular Ave, Hamden, CT 06514
Phone: 203-288-6253    Fax: 203-288-0948
Dr. Jennifer Ann Usher, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 3018 Dixwell Ave, Hamden, CT 06518
Phone: 203-288-3554    Fax: 203-281-0235
Dr. Georgann Witte, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 3018 Dixwell Avenue, Hamden, CT 06518
Phone: 203-288-3554    Fax: 203-281-0235
Jessica Leigh Lawson, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 26 Lillibridge Ct, Hamden, CT 06517
Phone: 978-760-0058    

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