Ms Jessica Lorena Bonilla, is a
Health & Wellness Coach based in Smithtown, New York. Ms Jessica Lorena Bonilla is licensed to practice in * (Not Available) (license number ) and her current practice location is
156 Landing Meadow Rd, Smithtown, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 626-6377.
NPI number for Ms Jessica Lorena Bonilla is 1043613516 and her current mailing address is 156 Landing Meadow Rd, Smithtown, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043613516.
Healthcare Provider's Profile
Full Name | Ms Jessica Lorena Bonilla |
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Gender | Female |
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Speciality | Health & Wellness Coach |
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Location | 156 Landing Meadow Rd, Smithtown, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043613516
- Provider Enumeration Date: 09/29/2014
- Last Update Date: 05/05/2021
Medical Identifiers
Medical identifiers for Ms Jessica Lorena Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043613516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 07643 (Maryland) | Secondary |
171400000X | Health & Wellness Coach | (* (Not Available)) | 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. Ms Jessica Lorena Bonilla 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 |
Ms Jessica Lorena Bonilla, 156 Landing Meadow Rd, Smithtown, NY 11787-1100 Ph: (631) 626-6377 | Ms Jessica Lorena Bonilla, 156 Landing Meadow Rd, Smithtown, NY 11787-1100 Ph: (631) 626-6377 |
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