Dr Brittany Nicole Bonner-dillon, PSYD is a medicare enrolled "Psychologist" provider in Camas, Washington. Her current practice location is
130 Se Whitney St, Camas, Washington. You can reach out to her office (for appointments etc.) via phone at
(330) 340-7522.
Dr Brittany Nicole Bonner-dillon is licensed to practice in Oregon (license number 3513) 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 1447502737.
Healthcare Provider's Profile
| Full Name | Dr Brittany Nicole Bonner-dillon |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 130 Se Whitney St, Camas, Washington |
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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: 1447502737
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 07/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284052192
- Enrollment ID: I20200909001706
Medical Identifiers
Medical identifiers for Dr Brittany Nicole Bonner-dillon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447502737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | PSY31796 (California) | Secondary |
| 103T00000X | Psychologist | PY61197410 (Washington) | Secondary |
| 103T00000X | Psychologist | P07891 (Ohio) | Secondary |
| 103T00000X | Psychologist | 3513 (Oregon) | 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. Dr Brittany Nicole Bonner-dillon allows following entities to bill medicare on her behalf.
| Entity Name | Doctor On Demand Professionals P C |
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| Entity Type | Part B Supplier - Other |
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| Entity Identifiers | NPI Number: 1174931448
PECOS PAC ID: 9436464567
Enrollment ID: O20200515000675 |
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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. Dr Brittany Nicole Bonner-dillon 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 |
|---|
Dr Brittany Nicole Bonner-dillon, PSYD
130 Se Whitney St,
Camas, WA 98607-2327
Ph: (330) 340-7522 | Dr Brittany Nicole Bonner-dillon, PSYD
130 Se Whitney St,
Camas, WA 98607-2327
Ph: (330) 340-7522 |
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