Kristie Jane Bonifazio, FNP in Stony Brook, NY

Kristie Jane Bonifazio, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stony Brook, New York. Her current practice location is 100 Nicolls Rd Rm 80, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 444-1116.

Kristie Jane Bonifazio is licensed to practice in New York (license number 351273) 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 1528745700.

Contact Information

	Kristie Jane Bonifazio, FNP
	100 Nicolls Rd Rm 80, Stony Brook, NY 11794-0001
	(631) 444-1116
	(631) 444-1535

Map and Direction

Provider's Profile

Full Name	Kristie Jane Bonifazio
Gender	Female
Speciality	Nurse Practitioner - Family
Location	100 Nicolls Rd Rm 80, Stony Brook, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528745700
Provider Enumeration Date: 06/29/2023
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 4880058841
Enrollment ID: I20230911001577

Medical Identifiers

Medical identifiers for Kristie Jane Bonifazio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528745700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	351273 (New York)	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. Kristie Jane Bonifazio allows following entities to bill medicare on her behalf.

Entity Name	New York Spine & Brain Surgery, University Faculty Practice Corporatio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154376309 PECOS PAC ID: 7719876796 Enrollment ID: O20040315001414

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. Kristie Jane Bonifazio 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
Kristie Jane Bonifazio, FNP 100 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (516) 779-6143	Kristie Jane Bonifazio, FNP 100 Nicolls Rd Rm 80, Stony Brook, NY 11794-0001 Ph: (631) 444-1116

Reviews and Comments

Nurse Practitioner Nurses in Stony Brook, NY

Mrs. Heather Marie Caligiuri, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-631-4449
Mr. Sam Tarik Mendoune I, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-335-1657
Kevin Ramdeen, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-312-6354
Ms. Marisa Ann Armstrong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333
Mrs. Patricia B Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-941-1388 Fax: 631-689-3993
Mrs. Marie Oquendo-miller, MSNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Road, Stony Brook, NY 11794 Phone: 631-632-6738 Fax: 631-632-6936
Mrs. Joanne M Camarda, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794 Phone: 631-444-7720 Fax: 631-444-7865

Kristie Jane Bonifazio, FNP - Medicare Nurse Practitioner in Stony Brook, NY