Marlene Bonilla Alicea, DPM in Richfield, MN

Marlene Bonilla Alicea, DPM is a medicare enrolled "Podiatrist" provider in Richfield, Minnesota. She went to New York College Of Podiatric Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Active Feet, Foot And Ankle Health Center, In House Senior Services Llc and her current practice location is 6625 Lyndale Ave S Ste 105, Richfield, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 788-8778.

Marlene Bonilla Alicea is licensed to practice in Minnesota (license number 1016) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588856546.

Contact Information

	Marlene Bonilla Alicea, DPM
	6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673
	(612) 788-8778
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marlene Bonilla Alicea
Gender	Female
Speciality	Podiatry
Experience	19 Years
Location	6625 Lyndale Ave S Ste 105, Richfield, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marlene Bonilla Alicea attended and graduated from New York College Of Podiatric Medicine in 2005

NPI Data:

NPI Number: 1588856546
Provider Enumeration Date: 08/14/2007
Last Update Date: 04/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9436316817
Enrollment ID: I20190613000730

Medical Identifiers

Medical identifiers for Marlene Bonilla Alicea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588856546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	N006419-1 (New York)	Secondary
213E00000X	Podiatrist	1016 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Active Feet, Foot And Ankle Health Center	1254401300	13
In House Senior Services Llc	7113170267	18

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. Marlene Bonilla Alicea allows following entities to bill medicare on her behalf.

Provider Name	Active Feet, Foot & Ankle Health Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689848392 PECOS PAC ID: 1254401300 Enrollment ID: O20080602000720

Provider Name	In House Senior Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083962294 PECOS PAC ID: 7113170267 Enrollment ID: O20130123000456

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. Marlene Bonilla Alicea 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
Marlene Bonilla Alicea, DPM 6625 Lyndale Ave S Ste 300, Richfield, MN 55423-2491 Ph: (612) 788-8778	Marlene Bonilla Alicea, DPM 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 Ph: (612) 788-8778

Reviews and Comments

Podiatrist in Richfield, MN

Midwest Podiatry Centers Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6600 Lyndale Ave S, Suite 150, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473
John M Thomas, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473
Mr. Bryan Mohr, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473
Dr. Mark Dennis Homstad, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778
Amanda Mcguire, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6625 Lyndale Ave S Ste 105, Richfield, MN 55423 Phone: 612-788-8778 Fax: 612-869-3473
Dr. Timothy J Szopa, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 407 W 66th St, Richfield, MN 55423 Phone: 612-798-8800 Fax: 612-798-8816
Dr. Karimah Z Shabazz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6600 Lyndale Ave S Ste 130, Richfield, MN 55423 Phone: 612-788-8778

Marlene Bonilla Alicea, DPM - Medicare Podiatrist in Richfield, MN