Angela D Bonneville, in Crystal Lake, IL - Medicare Social Worker Provider

Angela D Bonneville, is a medicare enrolled "Social Worker - Clinical" provider in Crystal Lake, Illinois. Her current practice location is 800 S Mchenry Ave, Crystal Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 526-3750.

Angela D Bonneville is licensed to practice in Illinois (license number 149013595) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679030977.

Contact Information

	Angela D Bonneville,
	800 S Mchenry Ave, Crystal Lake, IL 60014-7487
	(815) 526-3750
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angela D Bonneville
Gender	Female
Speciality	Social Worker - Clinical
Location	800 S Mchenry Ave, Crystal Lake, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679030977
Provider Enumeration Date: 02/23/2019
Last Update Date: 02/23/2019

Medicare PECOS Information:

PECOS PAC ID: 6901345321
Enrollment ID: I20240829002822

Medical Identifiers

Medical identifiers for Angela D Bonneville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679030977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149013595 (Illinois)	Primary

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. Angela D Bonneville allows following entities to bill medicare on her behalf.

Entity Name	First Responders Wellness Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417408303 PECOS PAC ID: 1759778228 Enrollment ID: O20220502001160

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. Angela D Bonneville 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
Angela D Bonneville, 445 Harvest Gate, Lake In The Hills, IL 60156-4825 Ph: (847) 409-2746	Angela D Bonneville, 800 S Mchenry Ave, Crystal Lake, IL 60014-7487 Ph: (815) 526-3750

Reviews and Comments

Social Worker in Crystal Lake, IL

Ms. Barbara A Ladd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Pyott Rd, Suite 101, Crystal Lake, IL 60014 Phone: 815-444-8604 Fax: 815-444-8624
Jennifer J. Johnston, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 741 S Mchenry Ave Ste C, Crystal Lake, IL 60014 Phone: 847-401-8205
Cheryl Barnhart, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Maplewood Ln, Crystal Lake, IL 60014 Phone: 815-404-8184
Sara Panke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1387 Parkridge Ct, Crystal Lake, IL 60014 Phone: 309-256-5457
Mr. Donald E Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 N Walkup Ave, Crystal Lake, IL 60014 Phone: 815-444-1090 Fax: 815-788-1345
Stacey A Price, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 72 Elm St, Crystal Lake, IL 60014 Phone: 815-353-0358
Kevin Edward Lahey, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Saint Andrews Ln Apt 26, Crystal Lake, IL 60014 Phone: 847-833-3648

Angela D Bonneville, - Medicare Clinical Social Worker in Crystal Lake, IL