Angela K Debastos, PHD in Rochester, MI - Medicare Psychologist Provider

Angela K Debastos, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rochester, Michigan. Her current practice location is 410 W University Dr, #205, Rochester, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 651-9670.

Angela K Debastos is licensed to practice in Michigan (license number 6301014168) 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 1972702660.

Contact Information

	Angela K Debastos, PHD
	410 W University Dr, #205, Rochester, MI 48307-1938
	(248) 651-9670
	(248) 651-9675

Map and Direction

Healthcare Provider's Profile

Full Name	Angela K Debastos
Gender	Female
Speciality	Psychologist - Clinical
Location	410 W University Dr, Rochester, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972702660
Provider Enumeration Date: 07/13/2007
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4688976608
Enrollment ID: I20160107003201

Medical Identifiers

Medical identifiers for Angela K Debastos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972702660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301014168 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301014168 (Michigan)	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. Angela K Debastos allows following entities to bill medicare on her behalf.

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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. Angela K Debastos 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
Angela K Debastos, PHD 410 W University Dr, #205, Rochester, MI 48307-1938 Ph: (248) 651-9670	Angela K Debastos, PHD 410 W University Dr, #205, Rochester, MI 48307-1938 Ph: (248) 651-9670

Reviews and Comments

Psychologist in Rochester, MI

Amelie Marie Lacoste, M.A. L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 410 W University Dr, Rochester, MI 48307 Phone: 248-495-9456
Pamela Vaccarelli, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4986 N Adams Rd, Rochester, MI 48306 Phone: 248-475-4880
Lynn Christine Neely, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 270 1st St, Rochester, MI 48307 Phone: 248-459-9631
Mrs. Kimberly Enders Scott, MED, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 W University Dr Ste 308, Rochester, MI 48307 Phone: 248-923-2099 Fax: 248-923-2096
Mr. Kenneth Schwarcz, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Attn: Susan Murray, Rochester, MI 48307 Phone: 248-652-5813 Fax: 248-652-5191
Dr. Jon B Clark, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 71 Walnut Blvd, Suite 109, Rochester, MI 48307 Phone: 248-650-8990 Fax: 248-650-8990
Mr. Antonino Agosta Jr., PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1135 W University Dr, Suite 315a, Rochester, MI 48307 Phone: 248-413-5027 Fax: 248-412-5048

Angela K Debastos, PHD - Medicare Psychologist in Rochester, MI