Ms Jacqueline Bonsu, PHD is a
Psychologist based in Knoxville, Tennessee. Ms Jacqueline Bonsu is licensed to practice in Tennessee (license number 3492) and her current practice location is
2018 Western Ave, Knoxville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 544-0406.
NPI number for Ms Jacqueline Bonsu is 1023490844 and her current mailing address is 6350 W Andrew Johnson Hwy, Department 100, Talbott, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023490844.
Healthcare Provider's Profile
| Full Name | Ms Jacqueline Bonsu |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 2018 Western Ave, Knoxville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023490844
- Provider Enumeration Date: 06/29/2015
- Last Update Date: 03/27/2018
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 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
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 |
|---|
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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