Jonathan Rene Broniste, APN - Medicare Nurse Practitioner in Lavaca, AR

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Jonathan Rene Broniste, APN is a medicare enrolled "Nurse Practitioner" in Lavaca, Arkansas. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fands Physical Therapy, Inc, 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.

Contact Information

Jonathan Rene Broniste, APN
603 S Division St,
Lavaca, AR 72941-4129
(479) 674-9181
(479) 674-8105

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Provider's Profile

Full NameJonathan Rene Broniste
GenderMale
SpecialityNurse Practitioner
Experience18 Years
Location603 S Division St, Lavaca, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1275774440NPI-NPPES
A03206OtherARLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner A03206 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At Home 1Fort smith, ARHome health agency
Elite Home HealthFort smith, ARHome health agency
Adoration Home HealthVan buren, ARHome health agency
Mercy Hospital Fort SmithFort smith, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fands Physical Therapy, Inc7810898459217
River Valley Primary Care Services004227427639

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 NameRiver Valley Primary Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952349003
PECOS PAC ID: 0042274276
Enrollment ID: O20050503001398
Entity NameFace 2 Face PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730425448
PECOS PAC ID: 9032355649
Enrollment ID: O20130425000616

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 AddressPractice Location Address
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

Reviews and Comments


Nurse Practitioner Nurses in Lavaca, AR

Kelly Jo Hubbard, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 603 S Division St, Lavaca, AR 72941
Phone: 479-279-7700    Fax: 479-279-7701

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.