John L Bonner Eye Clinic Ltd - Medicare in Grand Rapids, MN

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John L Bonner Eye Clinic Ltd is a medicare enrolled "Ophthalmology" provider in Grand Rapids, Minnesota. Their current practice location is 1542 Golf Course Rd, Suite 201, Grand Rapids, Minnesota. You can reach out to their office (for appointments etc.) via phone at (218) 326-3433.

John L Bonner Eye Clinic Ltd is licensed to practice in Minnesota (license number 432) and it also participates in the medicare program. John L Bonner Eye Clinic Ltd is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1053351817.

Contact Information

John L Bonner Eye Clinic Ltd
1542 Golf Course Rd, Suite 201,
Grand Rapids, MN 55744-9603
(218) 326-3433
(218) 326-3435

Map and Direction




Healthcare Provider's Profile

Full NameJohn L Bonner Eye Clinic Ltd
TypeFacility
SpecialityOphthalmology
Location1542 Golf Course Rd, Grand Rapids, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053351817
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 10/17/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0547243677
  • Enrollment ID: O20040610000493

Medical Identifiers

Medical identifiers for John L Bonner Eye Clinic Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053351817NPI-NPPES
0186560001OtherMNDMERC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 432 (Minnesota)Secondary
207W00000XOphthalmology 432 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. John L Bonner Eye Clinic Ltd acts as a billing entity for following providers:
Provider NameM Jerry Z Mariano
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1376582908
PECOS PAC ID: 3375526411
Enrollment ID: I20040610001187
Provider NameKayla M Bechthold
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811924772
PECOS PAC ID: 7214838333
Enrollment ID: I20040818001050
Provider NameLeroy T Kincannon
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528173846
PECOS PAC ID: 1951364298
Enrollment ID: I20041108001208
Provider NameChristine A Christie
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821038233
PECOS PAC ID: 7214915982
Enrollment ID: I20050308000326
Provider NamePaul N. Trites
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447348040
PECOS PAC ID: 9931173143
Enrollment ID: I20051219000615
Provider NameMichael Young
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932434016
PECOS PAC ID: 2062658214
Enrollment ID: I20130415000168
Provider NameAmy L Haugeberg
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1801326673
PECOS PAC ID: 3375811011
Enrollment ID: I20170621000699
Provider NameGrant Carlisle
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1063075224
PECOS PAC ID: 3173957925
Enrollment ID: I20240531000607

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. John L Bonner Eye Clinic Ltd 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
John L Bonner Eye Clinic Ltd
1542 Golf Course Rd, Suite 201,
Grand Rapids, MN 55744-9603

Ph: (218) 326-3433		John L Bonner Eye Clinic Ltd
1542 Golf Course Rd, Suite 201,
Grand Rapids, MN 55744-9603

Ph: (218) 326-3433

Reviews and Comments



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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.

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