Dr Laura J Bonaker, MD is a medicare enrolled "Pediatrics" physician in Pleasantville, New Jersey. Her current practice location is
22 N Franklin Blvd, 1st Floor, Pleasantville, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 272-9040.
Dr Laura J Bonaker is licensed to practice in New Jersey (license number 25MA03906000) 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 1528078797.
Physician's Profile
| Full Name | Dr Laura J Bonaker |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 22 N Franklin Blvd, Pleasantville, New Jersey |
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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: 1528078797
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 11/01/2011
Medicare PECOS Information:
- PECOS PAC ID: 0345415998
- Enrollment ID: I20111208000675
Medical Identifiers
Medical identifiers for Dr Laura J Bonaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528078797 | NPI | - | NPPES |
| 2300001 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 25MA03906000 (New Jersey) | 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 Laura J Bonaker allows following entities to bill medicare on her behalf.
| Entity Name | Advocare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770538696
PECOS PAC ID: 3678562188
Enrollment ID: O20040510001217 |
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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 Laura J Bonaker 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 Laura J Bonaker, MD
22 N Franklin Blvd, 2nd Floor,
Pleasantville, NJ 08232-2547
Ph: (609) 272-0655 | Dr Laura J Bonaker, MD
22 N Franklin Blvd, 1st Floor,
Pleasantville, NJ 08232-2547
Ph: (609) 272-9040 |
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