Andrea Bonnenfant, is a medicare enrolled "Physician Assistant" in Live Oak, California. Her current practice location is
9980 Live Oak Blvd, Live Oak, California. You can reach out to her office (for appointments etc.) via phone at
(530) 695-0700.
Andrea Bonnenfant is licensed to practice in California (license number 16633) 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 1972676922.
Provider's Profile
| Full Name | Andrea Bonnenfant |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 9980 Live Oak Blvd, Live Oak, California |
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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: 1972676922
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 12/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 3173748944
- Enrollment ID: I20140710002421
Medical Identifiers
Medical identifiers for Andrea Bonnenfant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972676922 | NPI | - | NPPES |
| 16633 | Other | CA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 16633 (California) | 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. Andrea Bonnenfant allows following entities to bill medicare on her behalf.
| Entity Name | Ronald D Hart |
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| Entity Type | Practitioner - Family Practice |
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| Entity Identifiers | NPI Number: 1356442032
PECOS PAC ID: 1254423916
Enrollment ID: I20070825000148 |
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| Entity Name | Sutter Valley Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335 |
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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. Andrea Bonnenfant 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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Andrea Bonnenfant,
1686 Hacienda Ct,
Yuba City, CA 95993-7704
Ph: (530) 741-6245 | Andrea Bonnenfant,
9980 Live Oak Blvd,
Live Oak, CA 95953-2334
Ph: (530) 695-0700 |
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