Nicholas Harrison Bonoff, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Terryville, Connecticut. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Team Rehab Pc and his current practice location is
311 Main St, Terryville, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 506-4124.
Nicholas Harrison Bonoff is licensed to practice in Connecticut (license number 13271) 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 1922761964.
Physician's Profile
| Full Name | Nicholas Harrison Bonoff |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 3 Years |
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| Location | 311 Main St, Terryville, Connecticut |
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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. |
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Medical Education and Training:
- Nicholas Harrison Bonoff graduated from medical school in 2021
NPI Data:
- NPI Number: 1922761964
- Provider Enumeration Date: 10/18/2021
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507255130
- Enrollment ID: I20211119000657
Medical Identifiers
Medical identifiers for Nicholas Harrison Bonoff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922761964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 13271 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Team Rehab Pc | 5496713448 | 7 |
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. Nicholas Harrison Bonoff allows following entities to bill medicare on his behalf.
| Entity Name | Team Rehab Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750342440
PECOS PAC ID: 5496713448
Enrollment ID: O20041222000513 |
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| Entity Name | Advanced Physical Therapy, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861677262
PECOS PAC ID: 7315020005
Enrollment ID: O20080219000453 |
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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. Nicholas Harrison Bonoff 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 |
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Nicholas Harrison Bonoff, DPT
176 Laning St,
Southington, CT 06489-1603
Ph: (860) 540-4184 | Nicholas Harrison Bonoff, DPT
311 Main St,
Terryville, CT 06786-5928
Ph: (860) 506-4124 |
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