Alexandra Bonovitch, DNP is a medicare enrolled "Nurse Practitioner" in Longs, South Carolina. Her current practice location is
2058 Borgata Loop, Longs, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(845) 522-7267.
Alexandra Bonovitch is licensed to practice in South Carolina (license number 27618) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093407694.
Provider's Profile
Full Name | Alexandra Bonovitch |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 2058 Borgata Loop, Longs, South Carolina |
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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: 1093407694
- Provider Enumeration Date: 05/22/2023
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426409376
- Enrollment ID: I20240104004633
Medical Identifiers
Medical identifiers for Alexandra Bonovitch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093407694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 247546 (South Carolina) | Secondary |
363L00000X | Nurse Practitioner | 27618 (South Carolina) | Primary |
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. Alexandra Bonovitch 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 |
Alexandra Bonovitch, DNP 2058 Borgata Loop, Longs, SC 29568-5756 Ph: () - | Alexandra Bonovitch, DNP 2058 Borgata Loop, Longs, SC 29568-5756 Ph: (845) 522-7267 |
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