Dr Ibis Danitzia Nunez-santiago, PHD in Johnson City, TN

Dr Ibis Danitzia Nunez-santiago, PHD is a medicare enrolled "Psychologist" provider in Johnson City, Tennessee. Her current practice location is 119 Boone Ridge Dr, Ste 201, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 282-1480.

Dr Ibis Danitzia Nunez-santiago is licensed to practice in South Carolina (license number 1174) 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 1871614420.

Contact Information

	Dr Ibis Danitzia Nunez-santiago, PHD
	119 Boone Ridge Dr, Ste 201, Johnson City, TN 37615-4998
	(423) 282-1480
	(423) 928-1353

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ibis Danitzia Nunez-santiago
Gender	Female
Speciality	Psychologist
Location	119 Boone Ridge Dr, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871614420
Provider Enumeration Date: 04/02/2007
Last Update Date: 12/07/2016

Medicare PECOS Information:

PECOS PAC ID: 7113165606
Enrollment ID: I20130522000387

Medical Identifiers

Medical identifiers for Dr Ibis Danitzia Nunez-santiago such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871614420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	4066 (North Carolina)	Secondary
103T00000X	Psychologist	1174 (South Carolina)	Primary
103T00000X	Psychologist	3389 (Tennessee)	Secondary

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 Ibis Danitzia Nunez-santiago allows following entities to bill medicare on her behalf.

Entity Name	Onsite Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912338328 PECOS PAC ID: 7012149222 Enrollment ID: O20140422000656

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 Ibis Danitzia Nunez-santiago 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 Ibis Danitzia Nunez-santiago, PHD Po Box 2034, Sylva, NC 28779-2034 Ph: (828) 586-8160	Dr Ibis Danitzia Nunez-santiago, PHD 119 Boone Ridge Dr, Ste 201, Johnson City, TN 37615-4998 Ph: (423) 282-1480

Reviews and Comments

Psychologist in Johnson City, TN

Dr. Angela Jane Shelton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 Pinnacle Dr, Suite 106, Johnson City, TN 37615 Phone: 423-525-3771
Shelley Ann Silvers, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Sydney And Lamont, James H Quillen Vamc, Johnson City, TN 37684 Phone: 423-926-1171
Ms. Deborah Lee Morrell, LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-232-2646
Martha M. Kennon, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480
Adam E Smith, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd Ste 31c, Johnson City, TN 37604 Phone: 423-431-4946
Dr. Steven L Gray, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Dr. Bess Lewis, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1735 W State Franklin Road, Ste 5 #180, Johnson City, TN 37604 Phone: 423-631-5873

Dr Ibis Danitzia Nunez-santiago, PHD - Medicare Psychologist in Johnson City, TN