Julisa A Duenas, PHD is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. Her current practice location is
3333 University Ave Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 331-9413.
Julisa A Duenas is licensed to practice in Minnesota (license number 0082) 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 1346623469.
Healthcare Provider's Profile
| Full Name | Julisa A Duenas |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 3333 University Ave Se, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346623469
- Provider Enumeration Date: 07/07/2015
- Last Update Date: 07/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 5597168906
- Enrollment ID: I20210722002967
Medical Identifiers
Medical identifiers for Julisa A Duenas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346623469 | NPI | - | NPPES |
| 47037660631 | Medicaid | NE | |
| 10026139700 | Medicaid | NE | |
| 47037660624 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 10567 (Nebraska) | Secondary |
| 103T00000X | Psychologist | 10125 (Florida) | Secondary |
| 103T00000X | Psychologist | 0082 (Minnesota) | 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. Julisa A Duenas allows following entities to bill medicare on her behalf.
| Entity Name | Fraser Child And Family Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609922194
PECOS PAC ID: 3971918772
Enrollment ID: O20210208002399 |
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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. Julisa A Duenas 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 |
|---|
Julisa A Duenas, PHD
3333 University Ave Se,
Minneapolis, MN 55414-3325
Ph: (612) 331-9413 | Julisa A Duenas, PHD
3333 University Ave Se,
Minneapolis, MN 55414
Ph: (612) 331-9413 |
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