Dr Keisha Patrice Bonner, MD is a medicare enrolled "General Practice" physician in Cedar Rapids, Iowa. She graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Primary Health Services Center and her current practice location is
1923 Mount Vernon Rd Se, Cedar Rapids, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 560-5287.
Dr Keisha Patrice Bonner is licensed to practice in Louisiana (license number 345208) 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 1902106495.
Physician's Profile
| Full Name | Dr Keisha Patrice Bonner |
|---|
| Gender | Female |
|---|
| Speciality | General Practice |
|---|
| Experience | 20 Years |
|---|
| Location | 1923 Mount Vernon Rd Se, Cedar Rapids, Iowa |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Keisha Patrice Bonner graduated from medical school in 2006
NPI Data:
- NPI Number: 1902106495
- Provider Enumeration Date: 10/30/2010
- Last Update Date: 02/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860703204
- Enrollment ID: I20250321001887
Medical Identifiers
Medical identifiers for Dr Keisha Patrice Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902106495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 345208 (Louisiana) | Primary |
| 204F00000X | Transplant Surgery | 296319 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Primary Health Services Center | 2062300858 | 16 |
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 Keisha Patrice Bonner allows following entities to bill medicare on her behalf.
| Entity Name | Primary Health Services Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043315286 PECOS PAC ID: 2062300858 Enrollment ID: O20051110000010 |
|---|
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 Keisha Patrice 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 |
Dr Keisha Patrice Bonner, MD 1923 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3326 Ph: () - | Dr Keisha Patrice Bonner, MD 1923 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3326 Ph: (319) 560-5287 |
Reviews and Comments