Bonnie D Porter, CRNA is a medicare enrolled "Anesthesiology" physician in Liberal, Kansas. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southwest Medical Center and her current practice location is
15th At Pershing, Liberal, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 624-1651.
Bonnie D Porter is licensed to practice in Kansas (license number 54986) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932143039.
Physician's Profile
Full Name | Bonnie D Porter |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 27 Years |
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Location | 15th At Pershing, Liberal, Kansas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Bonnie D Porter graduated from medical school in 1997
NPI Data:
- NPI Number: 1932143039
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5193840577
- Enrollment ID: I20100909000607
Medical Identifiers
Medical identifiers for Bonnie D Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932143039 | NPI | - | NPPES |
144662 | Other | KS | BLUE CROSS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 54986 (Kansas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southwest Medical Center | 7517941651 | 32 |
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. Bonnie D Porter allows following entities to bill medicare on her behalf.
Entity Name | Southwest Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144493040 PECOS PAC ID: 7517941651 Enrollment ID: O20040805001105 |
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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. Bonnie D Porter 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 |
Bonnie D Porter, CRNA 2501 Lilac Dr, Liberal, KS 67901-4945 Ph: (620) 624-4796 | Bonnie D Porter, CRNA 15th At Pershing, Liberal, KS 67901-2455 Ph: (620) 624-1651 |
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