Elizabeth Kimley Bonner, CPNP-AC is a medicare enrolled "Psychologist" physician in Durham, North Carolina. Her current practice location is
2301 Erwin Rd, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 684-8111.
Elizabeth Kimley Bonner is licensed to practice in North Carolina (license number 5017842) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558063065.
Physician's Profile
| Full Name | Elizabeth Kimley Bonner |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 2301 Erwin Rd, Durham, North Carolina |
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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: 1558063065
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 10/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 7416316724
- Enrollment ID: I20230705002459
Medical Identifiers
Medical identifiers for Elizabeth Kimley Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558063065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 5017842 (North Carolina) | Secondary |
| 103T00000X | Psychologist | 5017842 (North Carolina) | 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. Elizabeth Kimley Bonner allows following entities to bill medicare on her behalf.
| Entity Name | Duke University Health System, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376574798
PECOS PAC ID: 2567372345
Enrollment ID: O20031126000274 |
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| Entity Name | Duke University Health System, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558392977
PECOS PAC ID: 2567372345
Enrollment ID: O20031201000521 |
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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. Elizabeth Kimley 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 |
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Elizabeth Kimley Bonner, CPNP-AC
1033 Sweet Cream Ct,
Durham, NC 27703-6558
Ph: (919) 368-0682 | Elizabeth Kimley Bonner, CPNP-AC
2301 Erwin Rd,
Durham, NC 27705-4699
Ph: (919) 684-8111 |
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