Ms Bonnie Kuss, MPH, RD is a medicare enrolled "Dietitian, Registered" provider in Portage, Indiana. Her current practice location is
5 Aspen Rd, Portage, Indiana. You can reach out to her office (for appointments etc.) via phone at
(619) 822-8631.
Ms Bonnie Kuss is licensed to practice in Indiana (license number 86155669) 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 1043975006.
Healthcare Provider's Profile
Full Name | Ms Bonnie Kuss |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 5 Aspen Rd, Portage, Indiana |
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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: 1043975006
- Provider Enumeration Date: 11/04/2021
- Last Update Date: 11/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739610577
- Enrollment ID: I20241003001221
Medical Identifiers
Medical identifiers for Ms Bonnie Kuss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043975006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86155669 (Indiana) | 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. Ms Bonnie Kuss allows following entities to bill medicare on her behalf.
Provider Name | Revolution Ptwl Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1164766606 PECOS PAC ID: 7719115617 Enrollment ID: O20140123001222 |
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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. Ms Bonnie Kuss 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 |
Ms Bonnie Kuss, MPH, RD 5 Aspen Rd, Portage, IN 46368-1026 Ph: () - | Ms Bonnie Kuss, MPH, RD 5 Aspen Rd, Portage, IN 46368-1026 Ph: (619) 822-8631 |
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