Matthew Ellis Bonander, DPT is a medicare enrolled "Physical Therapist" provider in Krum, Texas. His current practice location is
4118 Herdsman Dr, Krum, Texas. You can reach out to his office (for appointments etc.) via phone at
(940) 535-8105.
Matthew Ellis Bonander is licensed to practice in Texas (license number 1254357) 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 1619119831.
Healthcare Provider's Profile
| Full Name | Matthew Ellis Bonander |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 4118 Herdsman Dr, Krum, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619119831
- Provider Enumeration Date: 04/02/2009
- Last Update Date: 05/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789739319
- Enrollment ID: I20220315002022
Medical Identifiers
Medical identifiers for Matthew Ellis Bonander such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619119831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 35580 (California) | Secondary |
| 225100000X | Physical Therapist | 1254357 (Texas) | 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. Matthew Ellis Bonander allows following entities to bill medicare on his behalf.
| Provider Name | Matt Bonander Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1154074201
PECOS PAC ID: 3274928023
Enrollment ID: O20220315001306 |
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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. Matthew Ellis Bonander 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 |
|---|
Matthew Ellis Bonander, DPT
4118 Herdsman Dr,
Krum, TX 76249-1556
Ph: (940) 535-8105 | Matthew Ellis Bonander, DPT
4118 Herdsman Dr,
Krum, TX 76249-1556
Ph: (940) 535-8105 |
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