Dr Paul D Bonacci, MD is a medicare enrolled "Anesthesiology" physician in Chamberlain, South Dakota. His current practice location is
300 S Byron Blvd, Chamberlain, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 234-6551.
Dr Paul D Bonacci is licensed to practice in South Dakota (license number 16666) 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 1689701609.
Physician's Profile
| Full Name | Dr Paul D Bonacci |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 300 S Byron Blvd, Chamberlain, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689701609
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 05/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608830880
- Enrollment ID: I20041117000495
Medical Identifiers
Medical identifiers for Dr Paul D Bonacci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689701609 | NPI | - | NPPES |
| 26503247 | Medicaid | CO | |
| 015701 | Other | CO | KAISER COMMERCIAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 35414 (Colorado) | Secondary |
| 207L00000X | Anesthesiology | 16666 (South Dakota) | 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 Paul D Bonacci allows following entities to bill medicare on his behalf.
| Entity Name | Colorado Permanente Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760599724
PECOS PAC ID: 1254238454
Enrollment ID: O20031216000640 |
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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 Paul D Bonacci 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 Paul D Bonacci, MD
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-9419 | Dr Paul D Bonacci, MD
300 S Byron Blvd,
Chamberlain, SD 57325-9741
Ph: (605) 234-6551 |
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