Jacob Bonilla, in Douglas, AZ - Medicare Physician Assistant

Jacob Bonilla, is a medicare enrolled "Physician Assistant - Medical" in Douglas, Arizona. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Benson Hospital Corporation and his current practice location is 1608 S. Kings Hwy, Douglas, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 805-8162.

Jacob Bonilla is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417300096.

Contact Information

	Jacob Bonilla,
	1608 S. Kings Hwy, Douglas, AZ 85607
	(520) 805-8162
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Bonilla
Gender	Male
Speciality	Physician Assistant
Experience	15 Years
Location	1608 S. Kings Hwy, Douglas, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Bonilla graduated from nursing school in 2011

NPI Data:

NPI Number: 1417300096
Provider Enumeration Date: 07/19/2016
Last Update Date: 03/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2365943008
Enrollment ID: I20250903000288

Medical Identifiers

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

Identifier	Type	State	Issuer
1417300096	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Benson Hospital	Benson, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Benson Hospital Corporation	3274443056	18

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. Jacob 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
Jacob Bonilla, 2817 Reilly St, Fort Bragg, NC 28310-8922 Ph: (910) 907-8922	Jacob Bonilla, 1608 S. Kings Hwy, Douglas, AZ 85607 Ph: (520) 805-8162

Reviews and Comments

Physician Assistant Nurses in Douglas, AZ

Robert Snyder Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-3285 Fax: 520-364-4261
Carlos Ernesto Pena, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 E 5th St, Douglas, AZ 85607 Phone: 520-364-7659 Fax: 520-364-8541

Jacob Bonilla, - Medicare Physician Assistant in Douglas, AZ