Nicole Raastad Bonham, MA 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 Name	Nicole Raastad Bonham
Gender	Female
Speciality	Counselor - Professional
Location	109 W Watauga Ave, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1336572981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3525 (Tennessee)	Primary
101Y00000X	Counselor	(* (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 Name	Frontier Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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
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
Pamela Kuykendall, LPC/MHSP (TEMP) Counselor Medicare: Not Enrolled in Medicare Practice Location: 1907 N Roan St Ste 203, Johnson City, TN 37601 Phone: 423-427-6224

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