Mrs Bonnie Lou Koski, DRNP, FNP-BC is a medicare enrolled "Nurse Practitioner" in Niagara, Wisconsin. Her current practice location is
1601 Roosevelt Rd, Niagara, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(888) 724-6377.
Mrs Bonnie Lou Koski is licensed to practice in Wisconsin (license number 2038-033) 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 1285626242.
Provider's Profile
Full Name | Mrs Bonnie Lou Koski |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1601 Roosevelt Rd, Niagara, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285626242
- Provider Enumeration Date: 08/16/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911947106
- Enrollment ID: I20160129000743
Medical Identifiers
Medical identifiers for Mrs Bonnie Lou Koski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285626242 | NPI | - | NPPES |
1285626242 | Medicaid | MI | |
0B10056 | Other | MI | BCBS OF MI |
21329700 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 2038-033 (Wisconsin) | Primary |
363L00000X | Nurse Practitioner | 4704139032 (Michigan) | Secondary |
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. Mrs Bonnie Lou Koski 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 |
Mrs Bonnie Lou Koski, DRNP, FNP-BC 1601 Roosevelt Rd, Niagara, WI 54151-1043 Ph: (888) 724-6377 | Mrs Bonnie Lou Koski, DRNP, FNP-BC 1601 Roosevelt Rd, Niagara, WI 54151-1043 Ph: (888) 724-6377 |
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