Dustin Lee Bonzo, MD is a medicare enrolled "Family Medicine" physician in Frontenac, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hospital District No 1 Crawford County and his current practice location is
1011 N Highway 69, Frontenac, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 235-1377.
Dustin Lee Bonzo is licensed to practice in Kansas (license number 04-44000) 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 1154884799.
Physician's Profile
| Full Name | Dustin Lee Bonzo |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 7 Years |
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| Location | 1011 N Highway 69, Frontenac, Kansas |
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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:
- Dustin Lee Bonzo attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2019
NPI Data:
- NPI Number: 1154884799
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 07/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 0345574489
- Enrollment ID: I20210901003193
Medical Identifiers
Medical identifiers for Dustin Lee Bonzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154884799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 04-44000 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hospital District No 1 Crawford County | 3476464538 | 21 |
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. Dustin Lee Bonzo allows following entities to bill medicare on his behalf.
| Entity Name | Hospital District No 1 Crawford County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508897182
PECOS PAC ID: 3476464538
Enrollment ID: O20040112000337 |
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| Entity Name | Hospital District No 1 Crawford County |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1578505095
PECOS PAC ID: 3476464538
Enrollment ID: O20061104000467 |
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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. Dustin Lee Bonzo 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 |
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Dustin Lee Bonzo, MD
302 N Hospital Dr,
Girard, KS 66743-2000
Ph: (620) 724-8291 | Dustin Lee Bonzo, MD
1011 N Highway 69,
Frontenac, KS 66763-8100
Ph: (620) 235-1377 |
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