Ms Bonny C Nothern, NP - Medicare Nurse Practitioner in Roxbury, MA

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Ms Bonny C Nothern, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Roxbury, Massachusetts. Her current practice location is 45 Dimock St, Roxbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 442-8800.

Ms Bonny C Nothern is licensed to practice in Massachusetts (license number RN236176) 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 1538194865.

Contact Information

Ms Bonny C Nothern, NP
45 Dimock St,
Roxbury, MA 02119-1208
(617) 442-8800
(617) 541-8472

Map and Direction




Provider's Profile

Full NameMs Bonny C Nothern
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location45 Dimock St, Roxbury, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538194865
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 05/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204895386
  • Enrollment ID: I20041005000652

Medical Identifiers

Medical identifiers for Ms Bonny C Nothern such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538194865NPI-NPPES
NP472601MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN236176 (Massachusetts)Secondary
363LA2200XNurse Practitioner - Adult Health MA236176 (Massachusetts)Secondary
363LA2200XNurse Practitioner - Adult Health RN236176 (Massachusetts)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. Ms Bonny C Nothern allows following entities to bill medicare on her behalf.
Entity NameDimock Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588719488
PECOS PAC ID: 7012810492
Enrollment ID: O20040202000242

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. Ms Bonny C Nothern 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
Ms Bonny C Nothern, NP
705 Mount Auburn St, Bewell Center,
Watertown, MA 02472-1508

Ph: (617) 972-1053		Ms Bonny C Nothern, NP
45 Dimock St,
Roxbury, MA 02119-1208

Ph: (617) 442-8800

Reviews and Comments


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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.