Dr Keith Anthony Bonacquisti, MD is a medicare enrolled "Otolaryngology" physician in Scottsbluff, Nebraska. He graduated from medical school in 1985 and has 41 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Regional West Physicians Clinic and his current practice location is
4021 Avenue B, Scottsbluff, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(308) 630-1885.
Dr Keith Anthony Bonacquisti is licensed to practice in Missouri (license number 109503) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487773669.
Physician's Profile
| Full Name | Dr Keith Anthony Bonacquisti |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 41 Years |
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| Location | 4021 Avenue B, Scottsbluff, Nebraska |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Keith Anthony Bonacquisti graduated from medical school in 1985
NPI Data:
- NPI Number: 1487773669
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 11/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153339825
- Enrollment ID: I20250109003542
Medical Identifiers
Medical identifiers for Dr Keith Anthony Bonacquisti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487773669 | NPI | - | NPPES |
| 208534602 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 109503 (Missouri) | Primary |
| 207Y00000X | Otolaryngology | 52438 (Alabama) | Secondary |
| 207Y00000X | Otolaryngology | CP1177 (Nebraska) | Secondary |
| 207Y00000X | Otolaryngology | 036127592 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Regional West Physicians Clinic | 2062301609 | 120 |
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 Keith Anthony Bonacquisti allows following entities to bill medicare on his behalf.
| Entity Name | Regional West Physicians Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306910534
PECOS PAC ID: 2062301609
Enrollment ID: O20040315001274 |
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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. Dr Keith Anthony Bonacquisti 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 Keith Anthony Bonacquisti, MD
1612 Cadence Loop,
Cantonment, FL 32533-4737
Ph: (314) 210-5085 | Dr Keith Anthony Bonacquisti, MD
4021 Avenue B,
Scottsbluff, NE 69361-4602
Ph: (308) 630-1885 |
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