Maggie M Bonilla, DO in Lander, WY

Maggie M Bonilla, DO is a medicare enrolled "Pediatrics" physician in Lander, Wyoming. Her current practice location is 115 Wyoming St, Lander, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 463-7160.

Maggie M Bonilla is licensed to practice in Wyoming (license number 14735A) 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 1649705492.

Contact Information

	Maggie M Bonilla, DO
	115 Wyoming St, Lander, WY 82520-3919
	(307) 463-7160
	Not Available

Map and Direction

Physician's Profile

Full Name	Maggie M Bonilla
Gender	Female
Speciality	Pediatrics
Location	115 Wyoming St, Lander, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649705492
Provider Enumeration Date: 04/28/2017
Last Update Date: 05/17/2023

Medicare PECOS Information:

PECOS PAC ID: 3577981141
Enrollment ID: I20230524001200

Medical Identifiers

Medical identifiers for Maggie M Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649705492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	14735A (Wyoming)	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. Maggie M Bonilla allows following entities to bill medicare on her behalf.

Entity Name	Community Health Center Of Central Wyoming Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447480561 PECOS PAC ID: 3375454705 Enrollment ID: O20031105000279

Entity Name	Lander Valley Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810

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. Maggie M Bonilla 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
Maggie M Bonilla, DO 5000 Blackmore Rd, Casper, WY 82609-3345 Ph: (307) 233-6000	Maggie M Bonilla, DO 115 Wyoming St, Lander, WY 82520-3919 Ph: (307) 463-7160

Reviews and Comments

Pediatrics Doctors in Lander, WY

Richard E. Barnes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 115 Wyoming St, Lander, WY 82520 Phone: 307-332-2185 Fax: 307-332-7799
Dr. Thomas Sanders Stamps, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 115 Wyoming St, Lander, WY 82520 Phone: 307-332-2185 Fax: 307-332-7799
Shalini Forbis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-1920 Fax: 307-332-1920
Mary Lois Barnes, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 115 Wyoming St, Lander, WY 82520 Phone: 307-332-2185 Fax: 307-322-7799
Ryan Gregory Firth, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 745 Buena Vista Dr, Lander, WY 82520 Phone: 307-332-2941 Fax: 307-332-1920
Mrs. Cheryl Lynn Fallin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 115 Wyoming St, Lander, WY 82520 Phone: 307-332-2185 Fax: 307-332-7799

Maggie M Bonilla, DO - Medicare Pediatrics in Lander, WY