Mr Don Bonham, LMSW, CASAC is a
Social Worker based in Fort Drum, New York. Mr Don Bonham is licensed to practice in New York (license number 055937) and his current practice location is
11050 Mount Belvedere Blvd, Usa Meddac - Credentials, Fort Drum, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 772-4025.
NPI number for Mr Don Bonham is 1326029489 and his current mailing address is 11050 Mount Belvedere Blvd, Usa Meddac - Credentials, Fort Drum, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326029489.
Healthcare Provider's Profile
| Full Name | Mr Don Bonham |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 11050 Mount Belvedere Blvd, Fort Drum, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326029489
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Don Bonham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326029489 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11769 (New York) | Primary |
| 104100000X | Social Worker | 055937 (New York) | Primary |
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. Mr Don Bonham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Don Bonham, LMSW, CASAC
11050 Mount Belvedere Blvd, Usa Meddac - Credentials,
Fort Drum, NY 13602-5438
Ph: (315) 772-4025 | Mr Don Bonham, LMSW, CASAC
11050 Mount Belvedere Blvd, Usa Meddac - Credentials,
Fort Drum, NY 13602-5438
Ph: (315) 772-4025 |
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