Bonnie L Grundel, PA-C in Crestview, FL - Medicare Physician Assistant

Bonnie L Grundel, PA-C is a medicare enrolled "Physician Assistant" in Crestview, Florida. Her current practice location is 369 N Main St, Crestview, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 398-6963.

Bonnie L Grundel is licensed to practice in Florida (license number PA9101053) 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 1528036696.

Contact Information

	Bonnie L Grundel, PA-C
	369 N Main St, Crestview, FL 32536-3541
	(850) 398-6963
	(850) 398-8277

Map and Direction

Provider's Profile

Full Name	Bonnie L Grundel
Gender	Female
Speciality	Physician Assistant
Location	369 N Main St, Crestview, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528036696
Provider Enumeration Date: 03/14/2006
Last Update Date: 09/08/2020

Medicare PECOS Information:

PECOS PAC ID: 8426057811
Enrollment ID: I20061213000029

Medical Identifiers

Medical identifiers for Bonnie L Grundel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528036696	NPI	-	NPPES
Y015K	Other	FL	BLUE CROSS BLUE SHIELD
17667	Other	FL	HEALTH FIRST NETWORK
P986780	Other	FL	FREEDOM HEALTH
291926500	Medicaid	FL
P931666	Other	FL	OPTIMUM
123872 CRESTVIEW	Medicaid	AL
P00900587	Other	FL	RAILROAD MCR
123873 SANTA ROSA	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA9101053 (Florida)	Primary

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. Bonnie L Grundel 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
Bonnie L Grundel, PA-C 550 Redstone Ave W Ste 490, Crestview, FL 32536-6457 Ph: (850) 689-8321	Bonnie L Grundel, PA-C 369 N Main St, Crestview, FL 32536-3541 Ph: (850) 398-6963

Reviews and Comments

Physician Assistant Nurses in Crestview, FL

Austin Brunson Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Redstone Ave W Fl 32536, Crestview, FL 32536 Phone: 850-746-2520
Donald Sexton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Redstone Ave W, Suite 200, Crestview, FL 32536 Phone: 850-682-6122 Fax: 850-682-5917
Gary Charles Perez, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Redstone Ave W, Suite 370, Crestview, FL 32536 Phone: 850-682-2209 Fax: 850-850-6822
Jacqueline Mcgrath, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Redstone Ave W Ste 390, Crestview, FL 32536 Phone: 850-423-9976
Melissa Marie Dugan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 150 E Redstone Ave Ste B, Crestview, FL 32539 Phone: 850-983-7778
Mrs. Ashley C Wagner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 Redstone Ave W, Crestview, FL 32536 Phone: 850-689-1740 Fax: 850-682-6652
Heather T Bien, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 Redstone Ave W, Crestview, FL 32536 Phone: 850-689-1740 Fax: 850-682-6652

Bonnie L Grundel, PA-C - Medicare Physician Assistant in Crestview, FL