Anthony J Bonitatibus, MD is a medicare enrolled "Allergy & Immunology" physician in Fairbanks, Alaska. He went to Medical College Of Georgia School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Tanana Valley Clinic Llc and his current practice location is
1001 Noble St Ste 1, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 458-2635.
Anthony J Bonitatibus is licensed to practice in Alaska (license number 166113) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689606477.
Physician's Profile
| Full Name | Anthony J Bonitatibus |
|---|
| Gender | Male |
|---|
| Speciality | Allergy/immunology |
|---|
| Experience | 26 Years |
|---|
| Location | 1001 Noble St Ste 1, Fairbanks, Alaska |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Anthony J Bonitatibus attended and graduated from Medical College Of Georgia School Of Medicine in 1998
NPI Data:
- NPI Number: 1689606477
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 02/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456255124
- Enrollment ID: I20210126000836
Medical Identifiers
Medical identifiers for Anthony J Bonitatibus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689606477 | NPI | - | NPPES |
| 550638700 | Medicaid | MN | |
| 003121233A | Medicaid | GA | |
| 1714176 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 51624 (Georgia) | Secondary |
| 207K00000X | Allergy & Immunology | 45670 (Minnesota) | Secondary |
| 207K00000X | Allergy & Immunology | 166113 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tanana Valley Clinic Llc | 5698056901 | 105 |
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. Anthony J Bonitatibus allows following entities to bill medicare on his behalf.
| Entity Name | Tanana Valley Clinic Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991 |
|---|
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. Anthony J Bonitatibus 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 |
|---|
Anthony J Bonitatibus, MD
1001 Noble St Ste 1,
Fairbanks, AK 99701-4991
Ph: (907) 458-2635 | Anthony J Bonitatibus, MD
1001 Noble St Ste 1,
Fairbanks, AK 99701-4991
Ph: (907) 458-2635 |
Reviews and Comments