Dr Brian K Bonham, MD is a medicare enrolled "Pediatrics" physician in Smithsburg, Maryland. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Medical Practices Of Antietam, Llc, Meritus Medical Center Inc, Amber Hill Physical Therapy Inc and his current practice location is
22911 Jefferson Blvd, Smithsburg, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 824-3343.
Dr Brian K Bonham is licensed to practice in Maryland (license number D0054451) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366407975.
Physician's Profile
Full Name | Dr Brian K Bonham |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 29 Years |
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Location | 22911 Jefferson Blvd, Smithsburg, Maryland |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Brian K Bonham attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1995
NPI Data:
- NPI Number: 1366407975
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 10/17/2013
Medicare PECOS Information:
- PECOS PAC ID: 1153461975
- Enrollment ID: I20091229000385
Medical Identifiers
Medical identifiers for Dr Brian K Bonham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366407975 | NPI | - | NPPES |
507200000 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | D0054451 (Maine) | Secondary |
208000000X | Pediatrics | D0054451 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Medical Practices Of Antietam, Llc | 2567353865 | 183 |
Meritus Medical Center Inc | 7113811795 | 140 |
Amber Hill Physical Therapy Inc | 8527963917 | 68 |
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. Dr Brian K Bonham allows following entities to bill medicare on his behalf.
Entity Name | Meritus Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205176393 PECOS PAC ID: 7113811795 Enrollment ID: O20040212000950 |
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Entity Name | Medical Practices Of Antietam, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019 |
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Entity Name | Meritus Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134383623 PECOS PAC ID: 2163582974 Enrollment ID: O20081125000017 |
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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. Dr Brian K Bonham 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 |
Dr Brian K Bonham, MD 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 Ph: (301) 824-3343 | Dr Brian K Bonham, MD 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 Ph: (301) 824-3343 |
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