Ms Caroline Marie Bonfanti, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Lawrence, New Jersey. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Service League Inc and her current practice location is
24 Winnipeg Ln, Lawrence, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 334-8096.
Ms Caroline Marie Bonfanti is licensed to practice in New Jersey (license number 26NJ00456300) 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 1619308731.
Physician's Profile
| Full Name | Ms Caroline Marie Bonfanti |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 24 Winnipeg Ln, Lawrence, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Caroline Marie Bonfanti graduated from medical school in 2013
NPI Data:
- NPI Number: 1619308731
- Provider Enumeration Date: 11/30/2013
- Last Update Date: 01/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496986168
- Enrollment ID: I20200709002334
Medical Identifiers
Medical identifiers for Ms Caroline Marie Bonfanti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619308731 | NPI | - | NPPES |
| 01420800 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | F401818-01 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00456300 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Service League Inc | 4284524448 | 45 |
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. Ms Caroline Marie Bonfanti allows following entities to bill medicare on her behalf.
| Entity Name | Family Service League Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528093242
PECOS PAC ID: 4284524448
Enrollment ID: O20040319000463 |
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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. Ms Caroline Marie Bonfanti 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 |
|---|
Ms Caroline Marie Bonfanti, PMHNP
1625 Schrader Blvd,
Los Angeles, CA 90028-6213
Ph: (323) 993-7400 | Ms Caroline Marie Bonfanti, PMHNP
24 Winnipeg Ln,
Lawrence, NJ 08648-4119
Ph: (609) 334-8096 |
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