S Primo Bonilla, OTR in Eureka, CA - Medicare Occupational Therapist Provider

S Primo Bonilla, OTR is a medicare enrolled "Occupational Therapist" provider in Eureka, California. His current practice location is 1587 Myrtle Ave, Eureka, California. You can reach out to his office (for appointments etc.) via phone at (707) 441-1931.

S Primo Bonilla is licensed to practice in California (license number 24672) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538936521.

Contact Information

	S Primo Bonilla, OTR
	1587 Myrtle Ave, Eureka, CA 95501-1453
	(707) 441-1931
	(707) 441-1940

Map and Direction

Healthcare Provider's Profile

Full Name	S Primo Bonilla
Gender	Male
Speciality	Occupational Therapist
Location	1587 Myrtle Ave, Eureka, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538936521
Provider Enumeration Date: 12/08/2023
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7315399813
Enrollment ID: I20240206001844

Medical Identifiers

Medical identifiers for S Primo Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538936521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	24672 (California)	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. S Primo Bonilla allows following entities to bill medicare on his behalf.

Provider Name	Humboldt Hand And Foot Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891711271 PECOS PAC ID: 7911999792 Enrollment ID: O20040401000251

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. S Primo Bonilla 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
S Primo Bonilla, OTR 1587 Myrtle Ave, Eureka, CA 95501-1453 Ph: (707) 441-1931	S Primo Bonilla, OTR 1587 Myrtle Ave, Eureka, CA 95501-1453 Ph: (707) 441-1931

Reviews and Comments

Occupational Therapist in Eureka, CA

Mr. Robert John Gomes, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121
Kimiko S Mcneill, OTL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1587 Myrtle Ave, Eureka, CA 95501 Phone: 707-441-1931 Fax: 707-441-1940
Mrs. Jill Marie Kamrud, MOT, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-5111
Mrs. Carol Jean Bowden, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: St. Joseph Hospital, 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121
Matthewz Zelden, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 K St, Eureka, CA 95501 Phone: 949-303-5458
Katherine Hentrich, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6400 Purdue Dr, Eureka, CA 95503 Phone: 707-443-5658
Patrick X Sarabia, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1587 Myrtle Ave, Eureka, CA 95501 Phone: 707-441-1931 Fax: 707-441-1940

S Primo Bonilla, OTR - Medicare Occupational Therapist in Eureka, CA