Dr Pedro Bonilla, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in East Cambridge, Massachusetts. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Jordan Physician Associates Inc and his current practice location is
163 Gore St, East Cambridge Health Center, East Cambridge, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 665-3000.
Dr Pedro Bonilla is licensed to practice in Massachusetts (license number 227286) 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 1215951934.
Physician's Profile
Full Name | Dr Pedro Bonilla |
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Gender | Male |
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Speciality | Psychiatry |
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Experience | 28 Years |
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Location | 163 Gore St, East Cambridge, Massachusetts |
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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 Pedro Bonilla graduated from medical school in 1997
NPI Data:
- NPI Number: 1215951934
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 12/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 0244240927
- Enrollment ID: I20060425000657
Medical Identifiers
Medical identifiers for Dr Pedro Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215951934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 227286 (Massachusetts) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Jordan Physician Associates Inc | 1254321086 | 154 |
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 Pedro Bonilla allows following entities to bill medicare on his behalf.
Entity Name | Jordan Physician Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538145131 PECOS PAC ID: 1254321086 Enrollment ID: O20040514000167 |
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Entity Name | The Commonwealth Of Massachusetts |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851477491 PECOS PAC ID: 8820906860 Enrollment ID: O20040609001391 |
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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 Pedro 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 Pedro Bonilla, MD 163 Gore St, East Cambridge Health Center, East Cambridge, MA 02141-1119 Ph: (617) 665-3000 | Dr Pedro Bonilla, MD 163 Gore St, East Cambridge Health Center, East Cambridge, MA 02141-1119 Ph: (617) 665-3000 |
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