Keri Bonville, LPC is a medicare enrolled "Counselor - Professional" provider in Scott City, Kansas. Her current practice location is
204 S College St, Scott City, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 872-5228.
Keri Bonville is licensed to practice in Kansas (license number 04258) 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 1720789092.
Healthcare Provider's Profile
| Full Name | Keri Bonville |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 204 S College St, Scott City, Kansas |
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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: 1720789092
- Provider Enumeration Date: 03/14/2023
- Last Update Date: 03/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183165558
- Enrollment ID: I20240925002789
Medical Identifiers
Medical identifiers for Keri Bonville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720789092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 04258 (Kansas) | 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. Keri Bonville allows following entities to bill medicare on her behalf.
| Entity Name | Compass Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922058510
PECOS PAC ID: 1355323122
Enrollment ID: O20040604000376 |
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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. Keri Bonville 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 |
|---|
Keri Bonville, LPC
Po Box 1905,
Garden City, KS 67846-1905
Ph: (620) 275-0644 | Keri Bonville, LPC
204 S College St,
Scott City, KS 67871-1253
Ph: (620) 872-5228 |
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