Dr Keisha Patrice Bonner, MD is a
General Practice physician based in Cedar Rapids, Iowa. Dr Keisha Patrice Bonner is licensed to practice in Louisiana (license number 345208) and her current practice location is 1923 Mount Vernon Rd Se, Cedar Rapids, Iowa. She can be reached at her office (for appointments etc.) via phone at
(319) 560-5287.
NPI number for Dr Keisha Patrice Bonner is 1902106495 and her current mailing address is 1923 Mount Vernon Rd Se, Cedar Rapids, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902106495.
Physician's Profile
| Full Name | Dr Keisha Patrice Bonner |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 1923 Mount Vernon Rd Se, Cedar Rapids, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902106495
- Provider Enumeration Date: 10/30/2010
- Last Update Date: 02/14/2025
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 |
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
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 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 |
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