Angela Harris-bonner, APRN, PMHNP - Medicare Nurse Practitioner in Petersburg, VA

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Angela Harris-bonner, APRN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Petersburg, Virginia. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Care Llc, Richmond Behavioral Health Authority and her current practice location is 28 Goodrich Ave, Petersburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 621-5128.

Angela Harris-bonner is licensed to practice in Virginia (license number 0024186586) 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 1134566334.

Contact Information

Angela Harris-bonner, APRN, PMHNP
28 Goodrich Ave,
Petersburg, VA 23805
(804) 621-5128
Not Available

Map and Direction




Provider's Profile

Full NameAngela Harris-bonner
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location28 Goodrich Ave, Petersburg, Virginia
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:
  • Angela Harris-bonner graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1134566334
  • Provider Enumeration Date: 05/29/2013
  • Last Update Date: 03/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002281797
  • Enrollment ID: I20230411002217

Medical Identifiers

Medical identifiers for Angela Harris-bonner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134566334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001211239 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024186586 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Care Llc004245820061
Richmond Behavioral Health Authority781089637011

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. Angela Harris-bonner allows following entities to bill medicare on her behalf.
Entity NameRichmond Behavioral Health Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184715328
PECOS PAC ID: 7810896370
Enrollment ID: O20040103000023
Entity NameLegacy Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902149776
PECOS PAC ID: 0042458200
Enrollment ID: O20130529000542
Entity NameLegacy Care Aco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538844857
PECOS PAC ID: 3274996426
Enrollment ID: O20230906000290

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. Angela Harris-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 AddressPractice Location Address
Angela Harris-bonner, APRN, PMHNP
28 Goodrich Ave,
Petersburg, VA 23805-2120

Ph: () -		Angela Harris-bonner, APRN, PMHNP
28 Goodrich Ave,
Petersburg, VA 23805

Ph: (804) 621-5128

Reviews and Comments


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Chiquita Michone Thomas-jackson, NP
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Ms. Erica Lynn Bagby, FNP-C
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Phone: 804-733-5591    Fax: 804-733-3506

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.