Jennifer Sue Derosia, LPN is a
Counselor based in Carterville, Illinois. Jennifer Sue Derosia is licensed to practice in * (Not Available) (license number ) and her current practice location is
403 Municipal Dr, Carterville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(855) 608-3560.
NPI number for Jennifer Sue Derosia is 1689966350 and her current mailing address is 902 W Main St, West Frankfort, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689966350.
Provider's Profile
Full Name | Jennifer Sue Derosia |
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Gender | Female |
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Speciality | Counselor |
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Location | 403 Municipal Dr, Carterville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689966350
- Provider Enumeration Date: 05/12/2011
- Last Update Date: 06/07/2023
Medical Identifiers
Medical identifiers for Jennifer Sue Derosia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689966350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043077866 (Illinois) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | 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. Jennifer Sue Derosia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Sue Derosia, LPN 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483 | Jennifer Sue Derosia, LPN 403 Municipal Dr, Carterville, IL 62918-2042 Ph: (855) 608-3560 |
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