Dr Dayne Kawika Bonzo, DO is a medicare enrolled "Pediatrics" physician in Eielson Afb, Alaska. His current practice location is
2630 Central Ave # 3349, Eielson Afb, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 377-6455.
Dr Dayne Kawika Bonzo is licensed to practice in Ohio (license number 34.013112) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437505963.
Physician's Profile
| Full Name | Dr Dayne Kawika Bonzo |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 2630 Central Ave # 3349, Eielson Afb, Alaska |
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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: 1437505963
- Provider Enumeration Date: 05/13/2016
- Last Update Date: 08/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840584652
- Enrollment ID: I20221101003068
Medical Identifiers
Medical identifiers for Dr Dayne Kawika Bonzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437505963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 34.013112 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 34.013112 (Ohio) | 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. Dr Dayne Kawika Bonzo allows following entities to bill medicare on his behalf.
| Entity Name | Peacehealth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801965736
PECOS PAC ID: 9436067618
Enrollment ID: O20031106000460 |
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| Entity Name | Peacehealth |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1396705539
PECOS PAC ID: 9436067618
Enrollment ID: O20080114000791 |
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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 Dayne Kawika Bonzo 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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Dr Dayne Kawika Bonzo, DO
2360 Central Ave #3349, Attn Dr. Dayne Bonzo,
Eielson Afb, AK 99702
Ph: (907) 377-6455 | Dr Dayne Kawika Bonzo, DO
2630 Central Ave # 3349,
Eielson Afb, AK 99702-2301
Ph: (907) 377-6455 |
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