Ferrell Bonner, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Little Rock, Arkansas. Her current practice location is
4224 Shuffield Dr, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 526-8200.
Ferrell Bonner is licensed to practice in Arkansas (license number 11168-C) 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 1700491263.
Healthcare Provider's Profile
| Full Name | Ferrell Bonner |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4224 Shuffield Dr, Little Rock, Arkansas |
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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: 1700491263
- Provider Enumeration Date: 09/11/2020
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335589688
- Enrollment ID: I20240502003915
Medical Identifiers
Medical identifiers for Ferrell Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700491263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 11168-M (Arkansas) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11168-C (Arkansas) | 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. Ferrell Bonner allows following entities to bill medicare on her behalf.
| Entity Name | Centers For Youth And Families Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174617526
PECOS PAC ID: 4486996279
Enrollment ID: O20190426000876 |
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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. Ferrell Bonner 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 |
|---|
Ferrell Bonner, LCSW
4301 W Markham St # 783,
Little Rock, AR 72205-7101
Ph: (501) 666-8000 | Ferrell Bonner, LCSW
4224 Shuffield Dr,
Little Rock, AR 72205-7211
Ph: (501) 526-8200 |
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