Mrs Susan M Bolick-bonin, PA is a medicare enrolled "Physician Assistant" in Vandling, Pennsylvania. Her current practice location is
111 Main St, Vandling, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 785-3194.
Mrs Susan M Bolick-bonin is licensed to practice in Pennsylvania (license number OA000780) 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 1659354371.
Provider's Profile
Full Name | Mrs Susan M Bolick-bonin |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 111 Main St, Vandling, Pennsylvania |
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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: 1659354371
- Provider Enumeration Date: 11/28/2005
- Last Update Date: 06/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 4587679592
- Enrollment ID: I20060222000266
Medical Identifiers
Medical identifiers for Mrs Susan M Bolick-bonin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659354371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | OA000780 (Pennsylvania) | Primary |
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 Susan M Bolick-bonin 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 Susan M Bolick-bonin, PA 111 Main St, Vandling, PA 18421-1711 Ph: (570) 785-3194 | Mrs Susan M Bolick-bonin, PA 111 Main St, Vandling, PA 18421-1711 Ph: (570) 785-3194 |
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