| Amy Susan Debernardi, PSYD | |
|
22 St. Anthony Drive, Zuni, NM 87327 | |
| (505) 782-5870 | |
| Not Available |
| Full Name | Amy Susan Debernardi |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 22 St. Anthony Drive, Zuni, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336388198 | NPI | - | NPPES |
| 000N4239 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 755 (New Mexico) | Primary |
| Entity Name | Meditelecare Of New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629639729 PECOS PAC ID: 1254668122 Enrollment ID: O20190815000690 |
| 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 |
Dr. Frank Bono, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Route 301 North B Street, Zuni, NM 87327 Phone: 505-782-4431 Fax: 505-782-7551 | |
Dr. Maria B. Williams, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Zuni Public School District, 12 Twinbuttes Dr, Zuni, NM 87327 Phone: 505-782-5511 Fax: 505-782-5870 | |
Aurora Rae Ostergar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Sandy Springs Road, Zuni, NM 87327 Phone: 505-782-5511 |