Joanna R Desupinski, is a medicare enrolled "Psychologist - Clinical" provider in Wake Forest, North Carolina. 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 | |
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| Experience | 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. |
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Medical Education and Training:
- Joanna R Desupinski attended and graduated from in
NPI Data:
- NPI Number: 1598013591
- Provider Enumeration Date: 08/22/2012
- Last Update Date: 10/23/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4832 (North Carolina) | 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. 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 |
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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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