Dr Joanna Iris Avena Depasupil, MD in Derry, NH

Dr Joanna Iris Avena Depasupil, MD is a medicare enrolled "Pediatrics" physician in Derry, New Hampshire. Her current practice location is 3 Forest Ridge Rd Apt 233, Derry, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 553-6753.

Dr Joanna Iris Avena Depasupil is licensed to practice in New York (license number 331657) 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 1760060909.

Contact Information

	Dr Joanna Iris Avena Depasupil, MD
	3 Forest Ridge Rd Apt 233, Derry, NH 03038-6126
	(603) 553-6753
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Joanna Iris Avena Depasupil
Gender	Female
Speciality	Pediatrics
Location	3 Forest Ridge Rd Apt 233, Derry, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760060909
Provider Enumeration Date: 03/30/2021
Last Update Date: 03/16/2026

Medicare PECOS Information:

PECOS PAC ID: 8426597857
Enrollment ID: I20240828004809

Medical Identifiers

Medical identifiers for Dr Joanna Iris Avena Depasupil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760060909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	331657 (New York)	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. Dr Joanna Iris Avena Depasupil allows following entities to bill medicare on her behalf.

Entity Name	Flushing Hospital & Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548217763 PECOS PAC ID: 2668367483 Enrollment ID: O20040219000415

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 Joanna Iris Avena Depasupil 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
Dr Joanna Iris Avena Depasupil, MD 3 Forest Ridge Rd Apt 233, Derry, NH 03038-6126 Ph: (603) 553-6753	Dr Joanna Iris Avena Depasupil, MD 3 Forest Ridge Rd Apt 233, Derry, NH 03038-6126 Ph: (603) 553-6753

Reviews and Comments

Pediatrics Doctors in Derry, NH

Jared Dunahay, Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Tsienneto Rd Ste 300, Derry, NH 03038 Phone: 603-216-0400 Fax: 603-216-3800
Sabina Khalid Omar, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd Ste 300, Derry, NH 03038 Phone: 603-216-0400 Fax: 603-206-3800
Gary T Della Grotta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43b Birch Street, Derry, NH 03038 Phone: 603-434-0327 Fax: 603-437-7175
Ms. Barbara A Brundage, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43b Birch St, Derry, NH 03038 Phone: 603-434-0327 Fax: 603-437-7175
Ms. Karen Lee Morgan, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 43b Birch Street, Derry, NH 03038 Phone: 603-434-0327 Fax: 603-437-7175

Dr Joanna Iris Avena Depasupil, MD - Medicare Pediatrics in Derry, NH