Mrs Gayle Bonzer-fry, PT is a
Physical Therapist based in Horseshoe Bend, Idaho. Mrs Gayle Bonzer-fry is licensed to practice in Idaho (license number RPT-081) and her current practice location is
400 Highway 55, Suite A, Horseshoe Bend, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 793-3333.
NPI number for Mrs Gayle Bonzer-fry is 1144213588 and her current mailing address is Po Box 205, Horseshoe Bend, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144213588.
Healthcare Provider's Profile
| Full Name | Mrs Gayle Bonzer-fry |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 400 Highway 55, Horseshoe Bend, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144213588
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 07/22/2013
Medical Identifiers
Medical identifiers for Mrs Gayle Bonzer-fry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144213588 | NPI | - | NPPES |
| 000010008652 | Other | ID | BLUE SHIELD |
| T0239 | Other | ID | BLUE CROSS OF IDAHO |
| 804131800 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | RPT-081 (Idaho) | Primary |
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. Mrs Gayle Bonzer-fry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Gayle Bonzer-fry, PT
Po Box 205,
Horseshoe Bend, ID 83629-0205
Ph: (208) 793-3333 | Mrs Gayle Bonzer-fry, PT
400 Highway 55, Suite A,
Horseshoe Bend, ID 83629-9015
Ph: (208) 793-3333 |
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