Dr Bonnie Elizabeth Vazquez, PHD is a medicare enrolled "Psychologist - Clinical" provider in Toa Baja, Puerto Rico. Her current practice location is
Rg2 Calle Aleli, Toa Baja, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(939) 645-1711.
Dr Bonnie Elizabeth Vazquez is licensed to practice in Puerto Rico (license number 3826) 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 1184938367.
Healthcare Provider's Profile
| Full Name | Dr Bonnie Elizabeth Vazquez |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | Rg2 Calle Aleli, Toa Baja, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184938367
- Provider Enumeration Date: 07/30/2010
- Last Update Date: 01/31/2013
Medicare PECOS Information:
- PECOS PAC ID: 5698086239
- Enrollment ID: I20150623001623
Medical Identifiers
Medical identifiers for Dr Bonnie Elizabeth Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184938367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 2509 (Puerto Rico) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3826 (Puerto Rico) | 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 Bonnie Elizabeth Vazquez allows following entities to bill medicare on her behalf.
| Entity Name | Salud Integral En La Montana Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578586244
PECOS PAC ID: 8527972827
Enrollment ID: O20040803000311 |
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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 Bonnie Elizabeth Vazquez 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 |
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Dr Bonnie Elizabeth Vazquez, PHD
1826 Ave Fernandez Juncos,
San Juan, PR 00909-3004
Ph: (939) 645-1711 | Dr Bonnie Elizabeth Vazquez, PHD
Rg2 Calle Aleli,
Toa Baja, PR 00949-2606
Ph: (939) 645-1711 |
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