Jeffrey A Bonack, BA, MDIV in Milwaukee, WI - Medicare Counselor Provider

Jeffrey A Bonack, BA, MDIV is a medicare enrolled "Counselor - Professional" provider in Milwaukee, Wisconsin. His current practice location is 2669 N Richards St, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (800) 438-1772.

Jeffrey A Bonack is licensed to practice in Wisconsin (license number 5121-226) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033724299.

Contact Information

	Jeffrey A Bonack, BA, MDIV
	2669 N Richards St, Milwaukee, WI 53212-2850
	(800) 438-1772
	(262) 345-5562

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey A Bonack
Gender	Male
Speciality	Counselor - Professional
Location	2669 N Richards St, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033724299
Provider Enumeration Date: 09/14/2020
Last Update Date: 11/09/2021

Medicare PECOS Information:

PECOS PAC ID: 9830534916
Enrollment ID: I20240228002553

Medical Identifiers

Medical identifiers for Jeffrey A Bonack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033724299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5121-226 (Wisconsin)	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. Jeffrey A Bonack allows following entities to bill medicare on his behalf.

Entity Name	Wisconsin Lutheran Child And Family Service Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083786628 PECOS PAC ID: 0749233898 Enrollment ID: O20050301000318

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. Jeffrey A Bonack 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
Jeffrey A Bonack, BA, MDIV W175n11120 Stonewood Dr, Germantown, WI 53022-4799 Ph: (800) 438-1772	Jeffrey A Bonack, BA, MDIV 2669 N Richards St, Milwaukee, WI 53212-2850 Ph: (800) 438-1772

Reviews and Comments

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Jeffrey A Bonack, BA, MDIV - Medicare Counselor in Milwaukee, WI