Maricela Bonilla, OD is a medicare enrolled "Optometrist" provider in Dulce, New Mexico. She went to New England College Of Optometry and graduated in 2002 and has 22 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Dulce Health Center and her current practice location is
500 North Mundo, Dulce, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 759-7281.
Maricela Bonilla is licensed to practice in Colorado (license number 2334) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265460851.
Healthcare Provider's Profile
| Full Name | Maricela Bonilla |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 22 Years |
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| Location | 500 North Mundo, Dulce, New Mexico |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Maricela Bonilla attended and graduated from New England College Of Optometry in 2002
NPI Data:
- NPI Number: 1265460851
- Provider Enumeration Date: 06/30/2006
- Last Update Date: 02/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 6103866843
- Enrollment ID: I20050511001008
Medical Identifiers
Medical identifiers for Maricela Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265460851 | NPI | - | NPPES |
| 23721243 | Medicaid | NM | |
| K3526 | Other | NM | FACILITY MEDICAID |
| HSZ196 | Other | NM | MEDICARE PART B |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2334 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dulce Health Center | 7012991839 | 4 |
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. Maricela Bonilla allows following entities to bill medicare on her behalf.
| Provider Name | Dulce Health Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750388963
PECOS PAC ID: 7012991839
Enrollment ID: O20040617000747 |
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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. Maricela 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 |
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Maricela Bonilla, OD
Po Box 187, 500 North Mundo,
Dulce, NM 87528-0187
Ph: (575) 759-7281 | Maricela Bonilla, OD
500 North Mundo,
Dulce, NM 87528-0187
Ph: (575) 759-7281 |
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