Katherine Bonnichsen, MD is a medicare enrolled "Dermatology" physician in Pierre, South Dakota. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Avera St Marys and her current practice location is
Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 945-5217.
Katherine Bonnichsen is licensed to practice in South Dakota (license number 10974) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003234832.
Physician's Profile
| Full Name | Katherine Bonnichsen |
|---|
| Gender | Female |
|---|
| Speciality | Dermatology |
|---|
| Experience | 10 Years |
|---|
| Location | Avera Medical Group Pierre - Helmsley Center, Pierre, South Dakota |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Katherine Bonnichsen attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2014
NPI Data:
- NPI Number: 1003234832
- Provider Enumeration Date: 03/29/2014
- Last Update Date: 12/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 1658598289
- Enrollment ID: I20180919000099
Medical Identifiers
Medical identifiers for Katherine Bonnichsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003234832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 10974 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Avera St Marys | 0143134965 | 82 |
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. Katherine Bonnichsen allows following entities to bill medicare on her behalf.
| Entity Name | Avera St Marys |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669457180
PECOS PAC ID: 0143134965
Enrollment ID: O20040225000579 |
|---|
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. Katherine Bonnichsen 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 |
|---|
Katherine Bonnichsen, MD
Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave,
Pierre, SD 57501
Ph: (605) 945-5217 | Katherine Bonnichsen, MD
Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave,
Pierre, SD 57501
Ph: (605) 945-5217 |
Reviews and Comments