Mrs Katherine I Bonilla, LMSW, LADC in Willimantic, CT

Mrs Katherine I Bonilla, LMSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Willimantic, Connecticut. Her current practice location is 872 Main St, Willimantic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 985-3494.

Mrs Katherine I Bonilla is licensed to practice in Connecticut (license number 010124) 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 1740530336.

Contact Information

	Mrs Katherine I Bonilla, LMSW, LADC
	872 Main St, Willimantic, CT 06226-2342
	(860) 985-3494
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Katherine I Bonilla
Gender	Female
Speciality	Social Worker - Clinical
Location	872 Main St, Willimantic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740530336
Provider Enumeration Date: 09/12/2012
Last Update Date: 04/09/2019

Medicare PECOS Information:

PECOS PAC ID: 7113306762
Enrollment ID: I20220628001617

Medical Identifiers

Medical identifiers for Mrs Katherine I Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740530336	NPI	-	NPPES
001366	Other	CT	MASTER'S LEVEL SOCIAL WORKER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	010124 (Connecticut)	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. Mrs Katherine I Bonilla allows following entities to bill medicare on her behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487689022 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000169

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. Mrs Katherine I Bonilla 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
Mrs Katherine I Bonilla, LMSW, LADC 44 Ashford Lake Dr, Ashford, CT 06278-1201 Ph: (860) 646-3888	Mrs Katherine I Bonilla, LMSW, LADC 872 Main St, Willimantic, CT 06226-2342 Ph: (860) 985-3494

Reviews and Comments

Social Worker in Willimantic, CT

Ariel Cussen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 289 Windham Rd, Willimantic, CT 06226 Phone: 860-465-2650
Karvada Monique Hurt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 65 Peru St, Willimantic, CT 06226 Phone: 860-465-9884
Virginia Lyon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-0585 Fax: 860-450-0763
Lori Bernier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6793 Fax: 860-456-6957
Jessica L St. Louis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 112 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-6985 Fax: 860-456-6771
Ms. Shannan Farr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Suite 200, Willimantic, CT 06226 Phone: 860-456-2261
Mrs. Elizabeth Soucy Mendes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 54 North St, Willimantic, CT 06226 Phone: 860-450-0151 Fax: 860-450-7152

Mrs Katherine I Bonilla, LMSW, LADC - Medicare Clinical Social Worker in Willimantic, CT