William Boniface, in Pueblo, CO - Medicare Counselor Provider

William Boniface, is a medicare enrolled "Counselor - Mental Health" provider in Pueblo, Colorado. His current practice location is 1310 Chinook Ln, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 545-2746.

William Boniface is licensed to practice in * (Not Available) (license number ) 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 1104202597.

Contact Information

	William Boniface,
	1310 Chinook Ln, Pueblo, CO 81001-1851
	(719) 545-2746
	(719) 545-4100

Map and Direction

Healthcare Provider's Profile

Full Name	William Boniface
Gender	Male
Speciality	Counselor - Mental Health
Location	1310 Chinook Ln, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104202597
Provider Enumeration Date: 08/07/2015
Last Update Date: 08/07/2015

Medicare PECOS Information:

PECOS PAC ID: 7810335338
Enrollment ID: I20240403002025

Medical Identifiers

Medical identifiers for William Boniface such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104202597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. William Boniface allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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. William Boniface 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
William Boniface, 1310 Chinook Ln, Pueblo, CO 81001-1851 Ph: (719) 545-2746	William Boniface, 1310 Chinook Ln, Pueblo, CO 81001-1851 Ph: (719) 545-2746

Reviews and Comments

Counselor in Pueblo, CO

Mr. Darren Mitchell Speier, BS CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 E 13th St, Pueblo, CO 81001 Phone: 719-546-6666 Fax: 719-543-7764
Penelope Hyland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Melissa Mahan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100
Jaycob Gonzales-cordova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-423-1882
James Ryan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110
Felicia Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746
Stanley Schleifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0119

William Boniface, - Medicare Counselor in Pueblo, CO