Ms Jacqueline Bonsu, PHD is a medicare enrolled "Psychologist" provider in Knoxville, Tennessee. Her current practice location is
2018 Western Ave, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 544-0406.
Ms Jacqueline Bonsu is licensed to practice in Tennessee (license number 3492) 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 1023490844.
Healthcare Provider's Profile
Full Name | Ms Jacqueline Bonsu |
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Gender | Female |
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Speciality | Psychologist |
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Location | 2018 Western Ave, Knoxville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023490844
- Provider Enumeration Date: 06/29/2015
- Last Update Date: 03/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 7214284090
- Enrollment ID: I20180725001180
Medical Identifiers
Medical identifiers for Ms Jacqueline Bonsu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023490844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 3492 (Tennessee) | 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. Ms Jacqueline Bonsu allows following entities to bill medicare on her behalf.
Entity Name | Cherokee Health Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134128820 PECOS PAC ID: 3577474295 Enrollment ID: O20031119000769 |
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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. Ms Jacqueline Bonsu 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 |
Ms Jacqueline Bonsu, PHD 6350 W Andrew Johnson Hwy, Department 100, Talbott, TN 37877-8605 Ph: (800) 355-3565 | Ms Jacqueline Bonsu, PHD 2018 Western Ave, Knoxville, TN 37921-5718 Ph: (865) 544-0406 |
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