Dr Marie Rose Bonabon, MD is a
Pediatrics physician based in Mauldin, South Carolina. Dr Marie Rose Bonabon is licensed to practice in South Carolina (license number 23996) and her current practice location is 309 W Butler Rd, Mauldin, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 297-1575.
NPI number for Dr Marie Rose Bonabon is 1093775397 and her current mailing address is 800 Pelham Rd, Greenville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093775397.
Physician's Profile
| Full Name | Dr Marie Rose Bonabon |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 309 W Butler Rd, Mauldin, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093775397
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Marie Rose Bonabon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093775397 | NPI | - | NPPES |
| 239969 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 23996 (South Carolina) | Primary |
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 Marie Rose Bonabon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marie Rose Bonabon, MD
800 Pelham Rd,
Greenville, SC 29615-3300
Ph: (864) 234-5800 | Dr Marie Rose Bonabon, MD
309 W Butler Rd,
Mauldin, SC 29662-2531
Ph: (864) 297-1575 |
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