Amy Susan Debernardi, PSYD is a medicare enrolled "Psychologist" provider in Zuni, New Mexico. Her current practice location is
22 St. Anthony Drive, Zuni, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 782-5870.
Amy Susan Debernardi is licensed to practice in New Mexico (license number 755) 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 1336388198.
Healthcare Provider's Profile
Full Name | Amy Susan Debernardi |
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Gender | Female |
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Speciality | Psychologist |
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Location | 22 St. Anthony Drive, Zuni, New Mexico |
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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: 1336388198
- Provider Enumeration Date: 02/18/2009
- Last Update Date: 02/18/2009
Medicare PECOS Information:
- PECOS PAC ID: 3274964275
- Enrollment ID: I20200506003306
Medical Identifiers
Medical identifiers for Amy Susan Debernardi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336388198 | NPI | - | NPPES |
000N4239 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 755 (New Mexico) | 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. Amy Susan Debernardi allows following entities to bill medicare on her behalf.
Entity Name | Meditelecare Of New Mexico, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629639729 PECOS PAC ID: 1254668122 Enrollment ID: O20190815000690 |
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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. Amy Susan Debernardi 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 |
Amy Susan Debernardi, PSYD 640 Hermit Falls Dr Se, Rio Rancho, NM 87124-7285 Ph: (505) 670-2313 | Amy Susan Debernardi, PSYD 22 St. Anthony Drive, Zuni, NM 87327 Ph: (505) 782-5870 |
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