Dr Edwin R Bonilla, MD in Deridder, LA - Medicare Family Practice

Dr Edwin R Bonilla, MD is a medicare enrolled "Family Medicine" physician in Deridder, Louisiana. He went to University Central Del Caribe Escuela De Medicina and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Family Healthcare Of Beauregard, Llc and his current practice location is 403 W 8th St, Deridder, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 463-8977.

Dr Edwin R Bonilla is licensed to practice in Louisiana (license number 08674) 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 1891806121.

Contact Information

	Dr Edwin R Bonilla, MD
	403 W 8th St, Deridder, LA 70634-5507
	(337) 463-8977
	(337) 462-3093

Map and Direction

Physician's Profile

Full Name	Dr Edwin R Bonilla
Gender	Male
Speciality	Family Practice
Experience	41 Years
Location	403 W 8th St, Deridder, Louisiana
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 Edwin R Bonilla attended and graduated from University Central Del Caribe Escuela De Medicina in 1983

NPI Data:

NPI Number: 1891806121
Provider Enumeration Date: 08/31/2006
Last Update Date: 04/08/2015

Medicare PECOS Information:

PECOS PAC ID: 7012191208
Enrollment ID: I20110413000231

Medical Identifiers

Medical identifiers for Dr Edwin R Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891806121	NPI	-	NPPES
1913324	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	08674 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beauregard Memorial Hospital	Deridder, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Healthcare Of Beauregard, Llc	8729208830	2

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 Edwin R Bonilla allows following entities to bill medicare on his behalf.

Entity Name	Family Healthcare Of Beauregard, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982017273 PECOS PAC ID: 8729208830 Enrollment ID: O20141011000004

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 Edwin R 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
Dr Edwin R Bonilla, MD 901 Birch Dr, Deridder, LA 70634-5308 Ph: () -	Dr Edwin R Bonilla, MD 403 W 8th St, Deridder, LA 70634-5507 Ph: (337) 463-8977

Reviews and Comments

Family Medicine Doctors in Deridder, LA

Jonathon Sossamon, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 W 8th St, Deridder, LA 70634 Phone: 337-463-8977 Fax: 337-462-3093
Dr. Flynn A Taylor I, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Pine St, Deridder, LA 70634 Phone: 337-463-9890 Fax: 337-462-9521
Heather Nelson Nortman, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 427 N Pine St, Deridder, LA 70634 Phone: 337-462-6471
Dr. Jeffrey Dobbins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 S Pine St, Deridder, LA 70634 Phone: 337-462-6070 Fax: 337-462-0091
Dr. Randall Coy Duplechain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 South Pine Street, Deridder, LA 70634 Phone: 337-462-1080 Fax: 337-462-5346
Dr. Warren Walter Gremmel Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 S Washington St, Deridder, LA 70634 Phone: 337-462-5227 Fax: 337-462-5228
Dr. Christopher Lee Granger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 W 8th St, Deridder, LA 70634 Phone: 337-463-8977 Fax: 337-462-3093

Dr Edwin R Bonilla, MD - Medicare Family Practice in Deridder, LA