Miles Kiernan Bonner, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Mullica Hill, New Jersey. His current practice location is
700 Mullica Hill Rd, Mullica Hill, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 508-1000.
Miles Kiernan Bonner is licensed to practice in New Jersey (license number 25MB12373400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942865548.
Physician's Profile
Full Name | Miles Kiernan Bonner |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 700 Mullica Hill Rd, Mullica Hill, 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. |
NPI Data:
- NPI Number: 1942865548
- Provider Enumeration Date: 05/08/2019
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092046565
- Enrollment ID: I20230906001812
Medical Identifiers
Medical identifiers for Miles Kiernan Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942865548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 25MB12373400 (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. Miles Kiernan Bonner allows following entities to bill medicare on his behalf.
Entity Name | Northeastern Rehabilitation Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104878412 PECOS PAC ID: 5193714723 Enrollment ID: O20040510000579 |
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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. Miles Kiernan 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 |
Miles Kiernan Bonner, DO 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Miles Kiernan Bonner, DO 700 Mullica Hill Rd, Mullica Hill, NJ 08062-4413 Ph: (856) 508-1000 |
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