Diangie Acosta Bonilla, MD is a medicare enrolled "Family Medicine" physician in Kenneth City, Florida. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mercy Southern Missouri Ambulatory Services Llc and her current practice location is
4390 66th St N, Kenneth City, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 513-4100.
Diangie Acosta Bonilla is licensed to practice in Florida (license number ME159985) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154962645.
Physician's Profile
| Full Name | Diangie Acosta Bonilla |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 4390 66th St N, Kenneth City, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diangie Acosta Bonilla graduated from medical school in 2019
NPI Data:
- NPI Number: 1154962645
- Provider Enumeration Date: 10/05/2019
- Last Update Date: 06/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355763046
- Enrollment ID: I20241011003628
Medical Identifiers
Medical identifiers for Diangie Acosta Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154962645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | ME159985 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Southern Missouri Ambulatory Services Llc | 5193089621 | 25 |
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. Diangie Acosta Bonilla allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Southern Missouri Ambulatory Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871094052
PECOS PAC ID: 5193089621
Enrollment ID: O20180508002317 |
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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. Diangie Acosta Bonilla 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 |
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Diangie Acosta Bonilla, MD
4390 66th St N,
Kenneth City, FL 33709-4920
Ph: (727) 513-4100 | Diangie Acosta Bonilla, MD
4390 66th St N,
Kenneth City, FL 33709-4920
Ph: (727) 513-4100 |
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