Bonny Benjamin Petty, PA-C in Austin, TX - Medicare Physician Assistant

Bonny Benjamin Petty, PA-C is a medicare enrolled "Physician Assistant" in Austin, Texas. Her current practice location is 601 E 15th St, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 324-7000.

Bonny Benjamin Petty is licensed to practice in Texas (license number 1100323) 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 1194094961.

Contact Information

	Bonny Benjamin Petty, PA-C
	601 E 15th St, Austin, TX 78701-1930
	(512) 324-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Bonny Benjamin Petty
Gender	Female
Speciality	Physician Assistant
Location	601 E 15th St, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194094961
Provider Enumeration Date: 12/22/2011
Last Update Date: 10/28/2016

Medicare PECOS Information:

PECOS PAC ID: 7810153798
Enrollment ID: I20120720000285

Medical Identifiers

Medical identifiers for Bonny Benjamin Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194094961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1100323 (Texas)	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. Bonny Benjamin Petty 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
Bonny Benjamin Petty, PA-C 6300 La Calma Dr, 200, Austin, TX 78752-3843 Ph: (888) 800-8237	Bonny Benjamin Petty, PA-C 601 E 15th St, Austin, TX 78701-1930 Ph: (512) 324-7000

Reviews and Comments

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Bonny Benjamin Petty, PA-C - Medicare Physician Assistant in Austin, TX