Dr Gabriel L Bonilla, MD in Phoenix, AZ - Medicare Physical Medicine & Rehabilitation

Dr Gabriel L Bonilla, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Phoenix, Arizona. His current practice location is 2526 W Rancho Laredo Dr, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 600-6762.

Dr Gabriel L Bonilla is licensed to practice in Arizona (license number 32912) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023080744.

Contact Information

	Dr Gabriel L Bonilla, MD
	2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168
	(928) 600-6762
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gabriel L Bonilla
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	2526 W Rancho Laredo Dr, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023080744
Provider Enumeration Date: 02/06/2006
Last Update Date: 05/01/2020

Medicare PECOS Information:

PECOS PAC ID: 2062492275
Enrollment ID: I20040720001016

Medical Identifiers

Medical identifiers for Dr Gabriel L Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023080744	NPI	-	NPPES
862913	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	32912 (Arizona)	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. Dr Gabriel L Bonilla allows following entities to bill medicare on his behalf.

Entity Name	Active Life Physical Medicine And Pain Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811130016 PECOS PAC ID: 0941350953 Enrollment ID: O20090613000021

Entity Name	Bella Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386065183 PECOS PAC ID: 8426274978 Enrollment ID: O20140718002012

Entity Name	Rhad Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780339721 PECOS PAC ID: 4789070350 Enrollment ID: O20220407000680

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. Dr Gabriel L 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
Dr Gabriel L Bonilla, MD 2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168 Ph: (928) 600-6762	Dr Gabriel L Bonilla, MD 2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168 Ph: (928) 600-6762

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Phoenix, AZ

Sam Arrow, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2627 N 3rd St Ste 203, Phoenix, AZ 85004 Phone: 602-834-8341 Fax: 844-693-0491
Dr. Brent Michael Page, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3700 N 24th St Ste 210, Phoenix, AZ 85016 Phone: 602-840-0681 Fax: 602-957-1570
Morgan Marie Loss, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014 Phone: 602-393-0520
Liat Chana Avital, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14001 N 7th St Ste F112, Phoenix, AZ 85022 Phone: 480-265-2140 Fax: 480-265-2141
Schae Mcleod, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014 Phone: 602-393-0520
Vivek Mukur Mehta, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2222 E Highland Ave, Suite 300, Phoenix, AZ 85016 Phone: 602-277-6211 Fax: 866-242-5309

Dr Gabriel L Bonilla, MD - Medicare Physical Medicine & Rehabilitation in Phoenix, AZ