Kelsey Bonavida, in Firestone, CO - Medicare Occupational Therapist Provider

Kelsey Bonavida, is a medicare enrolled "Occupational Therapist" provider in Firestone, Colorado. Her current practice location is 11169 E I25 Frontage Rd, Firestone, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 378-6670.

Kelsey Bonavida is licensed to practice in Colorado (license number 0004254) 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 1992199350.

Contact Information

	Kelsey Bonavida,
	11169 E I25 Frontage Rd, Firestone, CO 80504-5276
	(720) 378-6670
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Bonavida
Gender	Female
Speciality	Occupational Therapist
Location	11169 E I25 Frontage Rd, Firestone, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992199350
Provider Enumeration Date: 03/24/2015
Last Update Date: 06/19/2019

Medicare PECOS Information:

PECOS PAC ID: 6800261272
Enrollment ID: I20230417002949

Medical Identifiers

Medical identifiers for Kelsey Bonavida such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992199350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	0004254 (Colorado)	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. Kelsey Bonavida allows following entities to bill medicare on her behalf.

Provider Name	Badlands Therapy Services
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386100964 PECOS PAC ID: 4082956412 Enrollment ID: O20190924001487

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. Kelsey Bonavida 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
Kelsey Bonavida, 11169 E I25 Frontage Rd, Firestone, CO 80504-5276 Ph: () -	Kelsey Bonavida, 11169 E I25 Frontage Rd, Firestone, CO 80504-5276 Ph: (720) 378-6670

Reviews and Comments

Occupational Therapist in Firestone, CO

Mrs. Stacey Michelle Schulte, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6937 Tenderfoot Ave, Firestone, CO 80504 Phone: 720-890-7222
Emily Rae Bilek, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10184 E I25 Frontage Rd, Firestone, CO 80504 Phone: 720-378-6670
Mr. Garrett Matthew Breitbarth, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11169 E I25 Frontage Rd, Firestone, CO 80504 Phone: 720-378-6670
Leah Cohen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10184 E I25 Frontage Rd, Firestone, CO 80504 Phone: 720-378-6670
Danielle Christen Geyer, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11169 E I25 Frontage Rd, Suite B, Firestone, CO 80504 Phone: 720-378-6670
Elizabeth Large, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10184 E I25 Frontage Rd, Firestone, CO 80504 Phone: 720-378-6670
Kathryn Prussin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10290 Neighbors Pkwy, Firestone, CO 80504 Phone: 720-652-8240

Kelsey Bonavida, - Medicare Occupational Therapist in Firestone, CO