Breanna L Bonner, FNP in Ellisville, MS - Medicare Nurse Practitioner

Breanna L Bonner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Ellisville, Mississippi. Her current practice location is 1101 Highway 11 S, Ellisville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 477-5771.

Breanna L Bonner is licensed to practice in Mississippi (license number R867420) 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 1700125895.

Contact Information

	Breanna L Bonner, FNP
	1101 Highway 11 S, Ellisville, MS 39437-4443
	(601) 477-5771
	Not Available

Map and Direction

Provider's Profile

Full Name	Breanna L Bonner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1101 Highway 11 S, Ellisville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700125895
Provider Enumeration Date: 02/08/2013
Last Update Date: 12/27/2016

Medicare PECOS Information:

PECOS PAC ID: 6608011283
Enrollment ID: I20150225000367

Medical Identifiers

Medical identifiers for Breanna L Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700125895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R867420 (Mississippi)	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. Breanna L Bonner allows following entities to bill medicare on her behalf.

Entity Name	Petal Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982908877 PECOS PAC ID: 9133303811 Enrollment ID: O20110404000578

Entity Name	Hattiesburg Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164805156 PECOS PAC ID: 4981913308 Enrollment ID: O20151024000062

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. Breanna L 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 Address	Practice Location Address
Breanna L Bonner, FNP 38 Pass Rd, Ste A, Gulfport, MS 39507-3107 Ph: () -	Breanna L Bonner, FNP 1101 Highway 11 S, Ellisville, MS 39437-4443 Ph: (601) 477-5771

Reviews and Comments

Nurse Practitioner Nurses in Ellisville, MS

Mrs. Stephanie D. Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Hwy 11 S, Ellisville, MS 39437 Phone: 601-477-5770
Jessie Watson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1203 B Ave, Ellisville, MS 39437 Phone: 601-477-3550
Marlana Perkins Hedgepeth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Hal Crocker Rd, Ellisville, MS 39437 Phone: 601-477-2221 Fax: 601-477-2223
Tony Earl Miller, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 604-649-7921 Fax: 601-649-7939
Jeri S England, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 S Court St, Ellisville, MS 39437 Phone: 601-477-4104 Fax: 601-399-6254
Mr. Donald Scoggin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Ave B, Ellisville, MS 39437 Phone: 601-477-8553 Fax: 601-477-9158
Mrs. Lisa Graham Blesse, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Highway 11 S, Ellisville, MS 39437 Phone: 601-477-5795 Fax: 601-477-5895

Breanna L Bonner, FNP - Medicare Nurse Practitioner in Ellisville, MS