Daniel Brock Bonner, NP-C in Thomasville, GA - Medicare Nurse Practitioner

Daniel Brock Bonner, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Thomasville, Georgia. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ccsg, Inc and his current practice location is 116 Mimosa Dr, Thomasville, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 584-5670.

Daniel Brock Bonner is licensed to practice in Georgia (license number RN264248) 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 1720755192.

Contact Information

	Daniel Brock Bonner, NP-C
	116 Mimosa Dr, Thomasville, GA 31792-6605
	(229) 584-5670
	Not Available

Map and Direction

Provider's Profile

Full Name	Daniel Brock Bonner
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	116 Mimosa Dr, Thomasville, Georgia
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:

Daniel Brock Bonner graduated from nursing school in 2021

NPI Data:

NPI Number: 1720755192
Provider Enumeration Date: 08/24/2021
Last Update Date: 09/16/2021

Medicare PECOS Information:

PECOS PAC ID: 0042618100
Enrollment ID: I20211005000884

Medical Identifiers

Medical identifiers for Daniel Brock Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720755192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN264248 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John D Archbold Memorial Hospital	Thomasville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ccsg, Inc	6103130745	18

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. Daniel Brock Bonner allows following entities to bill medicare on his behalf.

Entity Name	John D. Archbold Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506

Entity Name	Ccsg, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295120145 PECOS PAC ID: 6103130745 Enrollment ID: O20150727002586

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. Daniel Brock Bonner 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
Daniel Brock Bonner, NP-C 413 Junius St, Thomasville, GA 31792-7448 Ph: (229) 224-7450	Daniel Brock Bonner, NP-C 116 Mimosa Dr, Thomasville, GA 31792-6605 Ph: (229) 584-5670

Reviews and Comments

Nurse Practitioner Nurses in Thomasville, GA

Mrs. Melanie Jai Balfour, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 S Madison St, Thomasville, GA 31792 Phone: 229-236-0831 Fax: 229-236-0871
Mrs. Courtnay Kelly Perryman, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave Ste K, Thomasville, GA 31792 Phone: 229-225-4335
Ms. Allen R Lybrook, APRN,BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-226-5788 Fax: 229-226-2548
Mrs. Patrice Gunter Bullock, MSN, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Circle Dr, Thomasville, GA 31792 Phone: 229-225-9830
Kristin F Deutsch, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Mimosa Dr, Thomasville, GA 31792 Phone: 229-227-0045 Fax: 229-227-9120
Cecilie Cowie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Gordon Ave, Thomasville, GA 31792 Phone: 229-226-0125 Fax: 229-226-0195
Mrs. Lisa S Carr, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 918 S Broad St, Thomasville, Thomasville, GA 31792 Phone: 229-226-8800 Fax: 229-226-8232

Daniel Brock Bonner, NP-C - Medicare Nurse Practitioner in Thomasville, GA