Nicole Raastad Bonham, MA - Medicare Counselor in Johnson City, TN

Nicole Raastad Bonham, MA is a medicare enrolled "Counselor - Professional" provider in Johnson City, Tennessee. Her current practice location is 109 W Watauga Ave, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 232-2600.

Nicole Raastad Bonham is licensed to practice in Tennessee (license number 3525) 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 1336572981.

Contact Information

Nicole Raastad Bonham, MA
109 W Watauga Ave,
Johnson City, TN 37604-5621
(423) 232-2600
(423) 467-3644

Map and Direction


Healthcare Provider's Profile

Full NameNicole Raastad Bonham
GenderFemale
SpecialityCounselor - Professional
Location109 W Watauga Ave, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336572981
  • Provider Enumeration Date: 08/19/2013
  • Last Update Date: 10/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1254775828
  • Enrollment ID: I20240222001448

Medical Identifiers

Medical identifiers for Nicole Raastad Bonham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336572981NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 3525 (Tennessee)Primary
101Y00000XCounselor (* (Not Available))Secondary

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. Nicole Raastad Bonham allows following entities to bill medicare on her behalf.
Entity NameFrontier Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720147408
PECOS PAC ID: 2860302320
Enrollment ID: O20040109000560

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. Nicole Raastad Bonham 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 AddressPractice Location Address
Nicole Raastad Bonham, MA
1167 Spratlin Park Dr, Po Box 9054,
Gray, TN 37615-6205

Ph: (423) 467-3600
Nicole Raastad Bonham, MA
109 W Watauga Ave,
Johnson City, TN 37604-5621

Ph: (423) 232-2600

Reviews and Comments


Counselor in Johnson City, TN

Mrs. Vicki Marie Britton, B.S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601
Phone: 423-283-6556    Fax: 423-283-6550
Hayley Christian Henderson, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 109 West Watauga Avenue, Watauga C&y, Johnson City, TN 37604
Phone: 423-232-2600    Fax: 423-467-3644
Matthew M Midkiff, LPC, MHSP
Counselor
Medicare: Medicare Enrolled
Practice Location: 109 W Watauga Ave, Johnson City, TN 37604
Phone: 423-232-2600    Fax: 423-467-3644
Neil Stoltzfus,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 926 W Oakland Ave Ste 202, Johnson City, TN 37604
Phone: 423-850-1150    
Michael Arthur Benoit,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601
Phone: 423-283-6500    Fax: 423-283-6550
Dr. Nicholas Porta, PSYD
Counselor
Medicare: Medicare Enrolled
Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601
Phone: 423-529-0385    Fax: 423-414-2699
Jessica Cabe, LPC-MHSP
Counselor
Medicare: Medicare Enrolled
Practice Location: 3114 Browns Mill Rd, Johnson City, TN 37604
Phone: 423-631-0432    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.