Bonnie Diane Pickett, NP is a medicare enrolled "Family Medicine" physician in Vancleave, Mississippi. Her current practice location is
10828 Highway 57, Vancleave, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(225) 826-4711.
Bonnie Diane Pickett is licensed to practice in Alabama (license number 1-158008) 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 1205608882.
Physician's Profile
| Full Name | Bonnie Diane Pickett |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 10828 Highway 57, Vancleave, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205608882
- Provider Enumeration Date: 10/26/2023
- Last Update Date: 12/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587002852
- Enrollment ID: I20240404004410
Medical Identifiers
Medical identifiers for Bonnie Diane Pickett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205608882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 1-158008 (Alabama) | 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. Bonnie Diane Pickett allows following entities to bill medicare on her behalf.
| Entity Name | Coastal Family Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629066782
PECOS PAC ID: 8628989654
Enrollment ID: O20040108000698 |
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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 Diane Pickett 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 |
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Bonnie Diane Pickett, NP
1209 Bienville Blvd,
Dauphin Island, AL 36528-4359
Ph: (251) 214-6119 | Bonnie Diane Pickett, NP
10828 Highway 57,
Vancleave, MS 39565-7845
Ph: (225) 826-4711 |
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