Daniel Bonilla, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Caldwell, Idaho. His current practice location is
1717 Arlington Ave, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 459-4641.
Daniel Bonilla is licensed to practice in Idaho (license number 78711) 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 1386408730.
Provider's Profile
| Full Name | Daniel Bonilla |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1717 Arlington Ave, Caldwell, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386408730
- Provider Enumeration Date: 02/07/2024
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183065246
- Enrollment ID: I20240507004523
Medical Identifiers
Medical identifiers for Daniel Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386408730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 78711 (Idaho) | 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. Daniel Bonilla allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Consulting Partners Idaho Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568241362
PECOS PAC ID: 5092164806
Enrollment ID: O20231205002846 |
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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. Daniel Bonilla 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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Daniel Bonilla, CRNA
1717 Arlington Ave,
Caldwell, ID 83605-4802
Ph: () - | Daniel Bonilla, CRNA
1717 Arlington Ave,
Caldwell, ID 83605-4802
Ph: (208) 459-4641 |
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