Mr Noah Seth Bonneville, BA, RN, MSN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in San Francisco, California. His current practice location is
595 Buckingham Way Ste 343, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at
(888) 588-8995.
Mr Noah Seth Bonneville is licensed to practice in California (license number 95021678) 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 1255460952.
Healthcare Provider's Profile
Full Name | Mr Noah Seth Bonneville |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 595 Buckingham Way Ste 343, San Francisco, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255460952
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 10/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779951249
- Enrollment ID: I20221115002119
Medical Identifiers
Medical identifiers for Mr Noah Seth Bonneville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255460952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | 95021678 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95021678 (California) | 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. Mr Noah Seth Bonneville allows following entities to bill medicare on his behalf.
Entity Name | Westside Community Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437215233 PECOS PAC ID: 9436204427 Enrollment ID: O20090826000770 |
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Entity Name | Foresight Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902390537 PECOS PAC ID: 6103176219 Enrollment ID: O20180912000079 |
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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. Mr Noah Seth Bonneville 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 |
Mr Noah Seth Bonneville, BA, RN, MSN 595 Buckingham Way Ste 343, San Francisco, CA 94132-1911 Ph: (888) 588-8995 | Mr Noah Seth Bonneville, BA, RN, MSN 595 Buckingham Way Ste 343, San Francisco, CA 94132-1911 Ph: (888) 588-8995 |
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