Diangie Acosta Bonilla, MD is a medicare enrolled "Family Medicine" physician in Kenneth City, Florida. Her current practice location is
4390 66th St N, Kenneth City, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 513-4100.
Diangie Acosta Bonilla is licensed to practice in Florida (license number ME159985) 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 1154962645.
Physician's Profile
Full Name | Diangie Acosta Bonilla |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 4390 66th St N, Kenneth City, Florida |
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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: 1154962645
- Provider Enumeration Date: 10/05/2019
- Last Update Date: 06/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355763046
- Enrollment ID: I20230626000195
Medical Identifiers
Medical identifiers for Diangie Acosta Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154962645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | ME159985 (Florida) | 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. Diangie Acosta Bonilla allows following entities to bill medicare on her behalf.
Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
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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. Diangie Acosta Bonilla 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 |
Diangie Acosta Bonilla, MD 4390 66th St N, Kenneth City, FL 33709-4920 Ph: (727) 513-4100 | Diangie Acosta Bonilla, MD 4390 66th St N, Kenneth City, FL 33709-4920 Ph: (727) 513-4100 |
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