Mrs Bonita Petersen, CCC-SLP is a
Speech-language Pathologist based in Hanover, Indiana. Mrs Bonita Petersen is licensed to practice in Indiana (license number 22001921A) and her current practice location is
4571 W Chain Mill Ct, Hanover, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 866-2515.
NPI number for Mrs Bonita Petersen is 1326355728 and her current mailing address is 4571 W Chain Mill Ct, Hanover, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326355728.
Healthcare Provider's Profile
Full Name | Mrs Bonita Petersen |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 4571 W Chain Mill Ct, Hanover, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326355728
- Provider Enumeration Date: 09/07/2010
- Last Update Date: 09/07/2010
Medical Identifiers
Medical identifiers for Mrs Bonita Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326355728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 22001921A (Indiana) | 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 Bonita Petersen 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 Bonita Petersen, CCC-SLP 4571 W Chain Mill Ct, Hanover, IN 47243-9173 Ph: (812) 866-2515 | Mrs Bonita Petersen, CCC-SLP 4571 W Chain Mill Ct, Hanover, IN 47243-9173 Ph: (812) 866-2515 |
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