Mckenzie Bonifield, in Carbondale, IL - Medicare Nurse Practitioner

Mckenzie Bonifield, is a medicare enrolled "Nurse Practitioner - Family" in Carbondale, Illinois. Her current practice location is 400 S Lewis Ln, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Mckenzie Bonifield is licensed to practice in Illinois (license number 209022703) 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 1205411204.

Contact Information

	Mckenzie Bonifield,
	400 S Lewis Ln, Carbondale, IL 62901-3547
	(618) 519-9200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mckenzie Bonifield
Gender	Female
Speciality	Nurse Practitioner - Family
Location	400 S Lewis Ln, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205411204
Provider Enumeration Date: 03/11/2021
Last Update Date: 03/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1355758061
Enrollment ID: I20210325000273

Medical Identifiers

Medical identifiers for Mckenzie Bonifield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205411204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209022703 (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. Mckenzie Bonifield allows following entities to bill medicare on her behalf.

Entity Name	Shawnee Health Service And Development Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454

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. Mckenzie Bonifield 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
Mckenzie Bonifield, 109 California St, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 519-9200	Mckenzie Bonifield, 400 S Lewis Ln, Carbondale, IL 62901-3547 Ph: (618) 519-9200

Reviews and Comments

Nurse Practitioner Nurses in Carbondale, IL

Miss Whitney Mcguire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Monica L Nagele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Cedar Ct, Carbondale, IL 62901 Phone: 618-490-1045

Mckenzie Bonifield, - Medicare Nurse Practitioner in Carbondale, IL