Jonathan Rene Broniste, APN is a medicare enrolled "Nurse Practitioner" in Lavaca, Arkansas. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice River Valley Primary Care Services and his current practice location is
603 S Division St, Lavaca, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 674-9181.
Jonathan Rene Broniste is licensed to practice in Arkansas (license number A03206) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275774440.
Provider's Profile
Full Name | Jonathan Rene Broniste |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 16 Years |
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Location | 603 S Division St, Lavaca, Arkansas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jonathan Rene Broniste graduated from nursing school in 2008
NPI Data:
- NPI Number: 1275774440
- Provider Enumeration Date: 03/17/2009
- Last Update Date: 09/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 4587790936
- Enrollment ID: I20100325000106
Medical Identifiers
Medical identifiers for Jonathan Rene Broniste such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275774440 | NPI | - | NPPES |
A03206 | Other | AR | LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | A03206 (Arkansas) | Primary |
Medical Facilities Affiliation
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. Jonathan Rene Broniste allows following entities to bill medicare on his behalf.
Entity Name | River Valley Primary Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952349003 PECOS PAC ID: 0042274276 Enrollment ID: O20050503001398 |
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Entity Name | Face 2 Face Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730425448 PECOS PAC ID: 9032355649 Enrollment ID: O20130425000616 |
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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. Jonathan Rene Broniste 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 |
Jonathan Rene Broniste, APN 603 S Division St, Lavaca, AR 72941-4129 Ph: (479) 674-9181 | Jonathan Rene Broniste, APN 603 S Division St, Lavaca, AR 72941-4129 Ph: (479) 674-9181 |
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