Dr Bernardine Suppa, PSY D is a medicare enrolled "Psychologist" provider in West Pittston, Pennsylvania. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice John G Kuna Psy D And Associates Llc and her current practice location is
16 Luzerne Ave, West Pittston, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 961-3361.
Dr Bernardine Suppa is licensed to practice in Pennsylvania (license number PS008862L) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497809438.
Healthcare Provider's Profile
| Full Name | Dr Bernardine Suppa |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 27 Years |
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| Location | 16 Luzerne Ave, West Pittston, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bernardine Suppa graduated from medical school in 1997
NPI Data:
- NPI Number: 1497809438
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688055445
- Enrollment ID: I20220726000176
Medical Identifiers
Medical identifiers for Dr Bernardine Suppa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497809438 | NPI | - | NPPES |
| 0017502200004 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PS008862L (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | PS008862L (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| John G Kuna Psy D And Associates Llc | 5890950281 | 20 |
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. Dr Bernardine Suppa allows following entities to bill medicare on her behalf.
| Entity Name | John G Kuna Psy D & Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487936654
PECOS PAC ID: 5890950281
Enrollment ID: O20120710000654 |
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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. Dr Bernardine Suppa 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 |
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Dr Bernardine Suppa, PSY D
38 North St,
Courtdale, PA 18704-1713
Ph: (570) 288-2430 | Dr Bernardine Suppa, PSY D
16 Luzerne Ave,
West Pittston, PA 18643-2817
Ph: (570) 961-3361 |
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