Dr John D Bonner, MD is a medicare enrolled "Ophthalmology" physician in Soddy Daisy, Tennessee. He went to University Of South Alabama College Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Southeast Eye Specialists Pllc and his current practice location is
9453 Dayton Pike, Soddy Daisy, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 332-8222.
Dr John D Bonner is licensed to practice in Tennessee (license number MD0000028919) 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 1831151216.
Physician's Profile
Full Name | Dr John D Bonner |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 29 Years |
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Location | 9453 Dayton Pike, Soddy Daisy, Tennessee |
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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 John D Bonner attended and graduated from University Of South Alabama College Of Medicine in 1995
NPI Data:
- NPI Number: 1831151216
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 11/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 9537126529
- Enrollment ID: I20041210000703
Medical Identifiers
Medical identifiers for Dr John D Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831151216 | NPI | - | NPPES |
3840957 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | MD0000028919 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southeast Eye Specialists Pllc | 6800708504 | 31 |
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 John D Bonner allows following entities to bill medicare on his behalf.
Entity Name | Southeast Eye Specialists Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518961176 PECOS PAC ID: 6800708504 Enrollment ID: O20031103000021 |
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Entity Name | Complete Eye Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578773263 PECOS PAC ID: 8426064924 Enrollment ID: O20060221000484 |
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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 John D Bonner 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 John D Bonner, MD 9453 Dayton Pike, Soddy Daisy, TN 37379-4751 Ph: (423) 332-8222 | Dr John D Bonner, MD 9453 Dayton Pike, Soddy Daisy, TN 37379-4751 Ph: (423) 332-8222 |
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