Jonathan Rene Broniste, APN is a medicare enrolled "Nurse Practitioner" in Lavaca, Arkansas. He graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice River Valley Primary Care Services and his current practice location is
603 S Division St, Lavaca, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 674-9181.
Jonathan Rene Broniste is licensed to practice in Arkansas (license number A03206) 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 1275774440.
Provider's Profile
| Full Name | Jonathan Rene Broniste |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 603 S Division St, Lavaca, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jonathan Rene Broniste graduated from nursing school in 2008
NPI Data:
- NPI Number: 1275774440
- Provider Enumeration Date: 03/17/2009
- Last Update Date: 09/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 4587790936
- Enrollment ID: I20100325000106
Medical Identifiers
Medical identifiers for Jonathan Rene Broniste such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275774440 | NPI | - | NPPES |
| A03206 | Other | AR | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | A03206 (Arkansas) | Primary |
Medical Facilities Affiliation
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. Jonathan Rene Broniste allows following entities to bill medicare on his behalf.
| Entity Name | River Valley Primary Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952349003
PECOS PAC ID: 0042274276
Enrollment ID: O20050503001398 |
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| Entity Name | Face 2 Face Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730425448
PECOS PAC ID: 9032355649
Enrollment ID: O20130425000616 |
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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. Jonathan Rene Broniste 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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Jonathan Rene Broniste, APN
603 S Division St,
Lavaca, AR 72941-4129
Ph: (479) 674-9181 | Jonathan Rene Broniste, APN
603 S Division St,
Lavaca, AR 72941-4129
Ph: (479) 674-9181 |
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