Otto Joseph Bonin Jr, NP in Zachary, LA - Medicare Nurse Practitioner

Otto Joseph Bonin Jr, NP is a medicare enrolled "Nurse Practitioner" in Zachary, Louisiana. He went to University Of South Alabama College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Bonin Clinic Llc and his current practice location is 1215 Independence Blvd 1a, Zachary, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 570-2010.

Otto Joseph Bonin Jr is licensed to practice in Louisiana (license number RN085359 - AP04429) 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 1558368316.

Contact Information

	Otto Joseph Bonin Jr, NP
	1215 Independence Blvd 1a, Zachary, LA 70791-7391
	(225) 570-2010
	(225) 570-8573

Map and Direction

Provider's Profile

Full Name	Otto Joseph Bonin Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	20 Years
Location	1215 Independence Blvd 1a, Zachary, Louisiana
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:

Otto Joseph Bonin Jr attended and graduated from University Of South Alabama College Of Medicine in 2004

NPI Data:

NPI Number: 1558368316
Provider Enumeration Date: 07/07/2005
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4284614694
Enrollment ID: I20040724000181

Medical Identifiers

Medical identifiers for Otto Joseph Bonin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558368316	NPI	-	NPPES
1069311	Medicaid	LA
P00089352	Other	LA	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN085359 - AP04429 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lane Regional Medical Center	Zachary, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Bonin Clinic Llc	7012219744	2

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. Otto Joseph Bonin Jr allows following entities to bill medicare on his behalf.

Entity Name	The Bonin Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003280512 PECOS PAC ID: 7012219744 Enrollment ID: O20160112001522

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. Otto Joseph Bonin Jr 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
Otto Joseph Bonin Jr, NP 1215 Independence Blvd 1a, Zachary, LA 70791-7391 Ph: (225) 570-2010	Otto Joseph Bonin Jr, NP 1215 Independence Blvd 1a, Zachary, LA 70791-7391 Ph: (225) 570-2010

Reviews and Comments

Nurse Practitioner Nurses in Zachary, LA

Michael Evan Williams, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6550 Main St Ste 1000, Zachary, LA 70791 Phone: 225-654-1559 Fax: 225-654-6212
Lori S Grace, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6550 Main St Ste 3500, Zachary, LA 70791 Phone: 225-658-6780 Fax: 225-658-6781
Courtney B Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19900 Old Scenic Hwy Ste H, Zachary, LA 70791 Phone: 225-570-2618
Jeremy Dedeaux, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2335 Church St, Suite E, Zachary, LA 70791 Phone: 225-654-3607 Fax: 225-658-2262
Chantel N Wiley, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Independence Blvd Ste B, Zachary, LA 70791 Phone: 225-205-3664 Fax: 225-399-4590
Mrs. Celeste M Howard-bourque, PMHNP-BC, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4544 W Central Ave, Zachary, LA 70791 Phone: 337-739-9824
Loryn Culver Matthews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18989 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-654-8850

Otto Joseph Bonin Jr, NP - Medicare Nurse Practitioner in Zachary, LA