Katelyn E Bonkowski, MD - Medicare Family Practice in Plymouth, MI

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Katelyn E Bonkowski, MD is a medicare enrolled "Family Medicine" physician in Plymouth, Michigan. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Iha Olma Primary Non Risk Llc and her current practice location is 990 W Ann Arbor Trl Ste 208, Plymouth, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 455-1200.

Katelyn E Bonkowski is licensed to practice in Michigan (license number 4351045481) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043870280.

Contact Information

Katelyn E Bonkowski, MD
990 W Ann Arbor Trl Ste 208,
Plymouth, MI 48170-1297
(734) 455-1200
(734) 455-5219

Map and Direction




Physician's Profile

Full NameKatelyn E Bonkowski
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location990 W Ann Arbor Trl Ste 208, Plymouth, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katelyn E Bonkowski graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1043870280
  • Provider Enumeration Date: 06/19/2019
  • Last Update Date: 08/27/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2264769439
  • Enrollment ID: I20221005002358

Medical Identifiers

Medical identifiers for Katelyn E Bonkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043870280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4351045481 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Health Livonia HospitalLivonia, MIHospital
Trinity Health Oakland HospitalPontiac, MIHospital
Trinity Health Ann Arbor HospitalYpsilanti, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iha Olma Primary Non Risk Llc175979279916

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. Katelyn E Bonkowski allows following entities to bill medicare on her behalf.
Entity NameIha Olma Primary Non Risk LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073112819
PECOS PAC ID: 1759792799
Enrollment ID: O20201124001881

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. Katelyn E Bonkowski 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 AddressPractice Location Address
Katelyn E Bonkowski, MD
24 Frank Lloyd Wright Dr Ste J2000,
Ann Arbor, MI 48105-9484

Ph: (734) 747-6766		Katelyn E Bonkowski, MD
990 W Ann Arbor Trl Ste 208,
Plymouth, MI 48170-1297

Ph: (734) 455-1200

Reviews and Comments


Family Medicine Doctors in Plymouth, MI

Dr. Kimberly Ottoni,
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Practice Location: 14300 N Beck Rd, Plymouth, MI 48170
Phone: 734-453-5600    
Joseph W. Crow Jr., M.D.
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Practice Location: 14300 N Beck Rd, Plymouth, MI 48170
Phone: 734-453-5600    
Andrew Rubenstein, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 261 S Main St, Plymouth, MI 48170
Phone: 734-453-9500    Fax: 734-453-9501
Vijaya Mamidipaka, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 47500 Ffve Mile Road, Plymouth, MI 48170
Phone: 734-459-7400    Fax: 734-459-7403
Suki Singh, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 40777 Ann Arbor Rd E, Plymouth, MI 48170
Phone: 734-738-2020    
Dr. Lauren Elizabeth Lumley, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 990 W Ann Arbor Trl Ste 208, Plymouth, MI 48170
Phone: 734-455-1200    Fax: 734-455-5219
Sana Rasheed Zuberi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14300 N Beck Rd, Plymouth, MI 48170
Phone: 800-653-6568    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.