Alice R Bonner, GNP - Nurse Practitioner in Worcester, MA

Alice R Bonner, GNP is a Nurse Practitioner based in Worcester, Massachusetts. Alice R Bonner is licensed to practice in Massachusetts (license number 179601) and her current practice location is 630 Plantation St, Worcester, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (508) 595-2000.

NPI number for Alice R Bonner is 1366427551 and her current mailing address is 630 Plantation St, Wot 12th Fl Attn: Physician Services, Worcester, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366427551.

Contact Information

Alice R Bonner, GNP
630 Plantation St,
Worcester, MA 01605-2038
(508) 595-2000
(508) 853-7149

Map and Direction




Provider's Profile

Full NameAlice R Bonner
GenderFemale
SpecialityNurse Practitioner
Location630 Plantation St, Worcester, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366427551
  • Provider Enumeration Date: 12/09/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Alice R Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366427551NPI-NPPES
57691OtherFALLON COMMUNITY HEALTH
AA3457OtherHARVARD PILGRIM HEALTHCAR
NP0040OtherBLUE SHIELD HMO BLUE
NP0040OtherMEDICARE B
NP0040OtherBLUE SHIELD INDEMNITY
042472266008OtherTRICARE CHAMPUS
0700363OtherMEDICAID WELFARE
0700363MedicaidMA
8300310OtherEVERCARE
04247226OtherONE HEALTH PLAN
NP0040OtherBLUE CARE ELECT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 179601 (Massachusetts)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. Alice R Bonner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alice R Bonner, GNP
630 Plantation St, Wot 12th Fl Attn: Physician Services,
Worcester, MA 01605-2038

Ph: (508) 368-5529
Alice R Bonner, GNP
630 Plantation St,
Worcester, MA 01605-2038

Ph: (508) 595-2000

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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