Jacob Bonnema, CRNA - Medicare Nurse Anesthetist, Certified Registered in Chicago, IL

  1. Home
  2. Nurse Anesthetist - CR
  3. IL
  4. Chicago
Jacob Bonnema, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chicago, Illinois. His current practice location is 2900 N Lake Shore Dr, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 665-3000.

Jacob Bonnema is licensed to practice in Illinois (license number 209028617) 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 1720778988.

Contact Information

Jacob Bonnema, CRNA
2900 N Lake Shore Dr,
Chicago, IL 60657-5640
(773) 665-3000
Not Available

Map and Direction




Provider's Profile

Full NameJacob Bonnema
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2900 N Lake Shore Dr, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720778988
  • Provider Enumeration Date: 05/11/2023
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335594985
  • Enrollment ID: I20231017001939

Medical Identifiers

Medical identifiers for Jacob Bonnema such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720778988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041422907 (Illinois)Secondary
163W00000XRegistered Nurse 28281380A (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 041422907 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 209028617 (Illinois)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. Jacob Bonnema allows following entities to bill medicare on his behalf.
Entity NameNorthstar Anesthesia Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561541
PECOS PAC ID: 1153576905
Enrollment ID: O20130227000297

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. Jacob Bonnema 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 AddressPractice Location Address
Jacob Bonnema, CRNA
2650 Ridge Ave # 1223,
Evanston, IL 60201-1700

Ph: (477) 335-3158		Jacob Bonnema, CRNA
2900 N Lake Shore Dr,
Chicago, IL 60657-5640

Ph: (773) 665-3000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Chicago, IL

Mrs. Bonnie Devroe Malik, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611
Phone: 312-695-9797    
Debra Farida,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 836 W Wellington Ave, Chicago, IL 60657
Phone: 773-975-1600    
Shannon R Galvin, M.D.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 251 E Huron St Ste 5-704, Chicago, IL 60611
Phone: 312-695-0061    Fax: 312-695-9013
Flordelina B Corpus, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 850 W Irving Park Rd, Chicago, IL 60613
Phone: 773-975-6705    
Mr. Jeremy Philip Carlsen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 251 E Huron St, Feinberg 5-704, Chicago, IL 60611
Phone: 312-926-8369    
Christopher Glenn, CRNA, MSN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1740 W Taylor St, 3200w, Chicago, IL 60612
Phone: 312-996-4020    
Christopher Payne,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1950 W Polk St, Chicago, IL 60612
Phone: 312-864-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.