Mr Roberto M Bonnevie Jr, PT in Waldorf, MD - Medicare Physical Therapist Provider

Mr Roberto M Bonnevie Jr, PT is a medicare enrolled "Physical Therapist" provider in Waldorf, Maryland. His current practice location is 11325 Pembrooke Sq Ste 115, Waldorf, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 358-6155.

Mr Roberto M Bonnevie Jr is licensed to practice in Maryland (license number 18452) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588891584.

Contact Information

	Mr Roberto M Bonnevie Jr, PT
	11325 Pembrooke Sq Ste 115, Waldorf, MD 20603-4807
	(301) 358-6155
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Roberto M Bonnevie Jr
Gender	Male
Speciality	Physical Therapist
Location	11325 Pembrooke Sq Ste 115, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588891584
Provider Enumeration Date: 06/17/2009
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6002047594
Enrollment ID: I20140326001418

Medical Identifiers

Medical identifiers for Mr Roberto M Bonnevie Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588891584	NPI	-	NPPES
584102000	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	18452 (Maryland)	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. Mr Roberto M Bonnevie Jr allows following entities to bill medicare on his behalf.

Provider Name	Gatekeeper Enterprises, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649404179 PECOS PAC ID: 0345382594 Enrollment ID: O20100126000563

Provider Name	Lhmg Physical Therapy, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1750769055 PECOS PAC ID: 3870893738 Enrollment ID: O20151125000021

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. Mr Roberto M Bonnevie Jr 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
Mr Roberto M Bonnevie Jr, PT 11325 Pembrooke Sq Ste 115, Waldorf, MD 20603-4807 Ph: (301) 719-1146	Mr Roberto M Bonnevie Jr, PT 11325 Pembrooke Sq Ste 115, Waldorf, MD 20603-4807 Ph: (301) 358-6155

Reviews and Comments

Physical Therapist in Waldorf, MD

Mr. David Grossman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Patricks Dr, Suite 401, Waldorf, MD 20603 Phone: 301-870-6717 Fax: 301-870-7366
Alexander David Sharr, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 Phone: 301-645-0013 Fax: 301-645-1183
Anupkumar Yadav, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3165 Crain Hwy Ste 100, Waldorf, MD 20603 Phone: 301-885-2500 Fax: 301-885-2501
Elias Petros Showler, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11325 Pembrooke Sq Fl 2, Waldorf, MD 20603 Phone: 301-719-1146
Us Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Post Office Rd, Suite # 103, Waldorf, MD 20602 Phone: 301-266-1305
Mansi Chavan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11665 Doolittle Dr, Waldorf, MD 20602 Phone: 877-407-3422 Fax: 877-407-4329
April Joy Laing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11665 Doolittle Dr, Waldorf, MD 20602 Phone: 877-407-3422 Fax: 877-407-4329

Mr Roberto M Bonnevie Jr, PT - Medicare Physical Therapist in Waldorf, MD