Joanna R Desupinski, is a medicare enrolled "Psychologist - Clinical" provider in Wake Forest, North Carolina. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Firefly Behavioral Services Pllc and her current practice location is
10580 Ligon Mill Rd Ste 210, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 263-9592.
Joanna R Desupinski is licensed to practice in North Carolina (license number 4832) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598013591.
Healthcare Provider's Profile
Full Name | Joanna R Desupinski |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 11 Years |
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Location | 10580 Ligon Mill Rd Ste 210, Wake Forest, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Joanna R Desupinski graduated from medical school in 2013
NPI Data:
- NPI Number: 1598013591
- Provider Enumeration Date: 08/22/2012
- Last Update Date: 10/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103129218
- Enrollment ID: I20160125000554
Medical Identifiers
Medical identifiers for Joanna R Desupinski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598013591 | NPI | - | NPPES |
1598013591 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 4832 (North Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Firefly Behavioral Services Pllc | 2264890862 | 2 |
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. Joanna R Desupinski allows following entities to bill medicare on her behalf.
Entity Name | Perkins Counseling And Psychological Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750641213 PECOS PAC ID: 6800052234 Enrollment ID: O20120730000248 |
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Entity Name | Firefly Behavioral Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851031405 PECOS PAC ID: 2264890862 Enrollment ID: O20230613003816 |
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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. Joanna R Desupinski 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 |
Joanna R Desupinski, 4545 S 86th St, Lincoln, NE 68526-9227 Ph: (402) 483-6990 | Joanna R Desupinski, 10580 Ligon Mill Rd Ste 210, Wake Forest, NC 27587-6090 Ph: (919) 263-9592 |
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