Jacob Bonilla, - Physician Assistant in Douglas, AZ

Jacob Bonilla, is a Physician Assistant - Medical based in Douglas, Arizona. Jacob Bonilla is licensed to practice in * (Not Available) (license number ) and his current practice location is 1608 S. Kings Hwy, Douglas, Arizona. He can be reached at his office (for appointments etc.) via phone at (520) 805-8162.

NPI number for Jacob Bonilla is 1417300096 and his current mailing address is 2817 Reilly St, Fort Bragg, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417300096.

Contact Information

Jacob Bonilla,
1608 S. Kings Hwy,
Douglas, AZ 85607
(520) 805-8162
Not Available

Map and Direction




Provider's Profile

Full NameJacob Bonilla
GenderMale
SpecialityPhysician Assistant - Medical
Location1608 S. Kings Hwy, Douglas, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417300096
  • Provider Enumeration Date: 07/19/2016
  • Last Update Date: 03/21/2022

Medical Identifiers

Medical identifiers for Jacob Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417300096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (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. Jacob 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 AddressPractice Location Address
Jacob Bonilla,
2817 Reilly St,
Fort Bragg, NC 28310-8922

Ph: (910) 907-8922
Jacob Bonilla,
1608 S. Kings Hwy,
Douglas, AZ 85607

Ph: (520) 805-8162

Reviews and Comments


Physician Assistant Nurses in Douglas, AZ

Robert Snyder Rodriguez, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 1100 F Ave, Douglas, AZ 85607
Phone: 520-364-3285    Fax: 520-364-4261
Carlos Ernesto Pena, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 E 5th St, Douglas, AZ 85607
Phone: 520-364-7659    Fax: 520-364-8541

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.