Brian Bonzo, in Jacksonville, FL - Medicare Nurse Anesthetist, Certified Registered

Brian Bonzo, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. His current practice location is 2080 Child St Dept 5000, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 542-7300.

Brian Bonzo is licensed to practice in Florida (license number RN11028851) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174302806.

Contact Information

	Brian Bonzo,
	2080 Child St Dept 5000, Jacksonville, FL 32214-5000
	(904) 542-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Brian Bonzo
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2080 Child St Dept 5000, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174302806
Provider Enumeration Date: 09/22/2023
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 8628501061
Enrollment ID: I20241024000555

Medical Identifiers

Medical identifiers for Brian Bonzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174302806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN49804 (Rhode Island)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN11028851 (Florida)	Primary

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. Brian Bonzo allows following entities to bill medicare on his behalf.

Entity Name	Jax Anesthesia Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245271154 PECOS PAC ID: 5698783702 Enrollment ID: O20060331000288

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. Brian Bonzo 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
Brian Bonzo, 2080 Child St Dept 5000, Jacksonville, FL 32214-5000 Ph: (904) 542-7300	Brian Bonzo, 2080 Child St Dept 5000, Jacksonville, FL 32214-5000 Ph: (904) 542-7300

Reviews and Comments

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Brian Bonzo, - Medicare Nurse Anesthetist, Certified Registered in Jacksonville, FL