DR. BONNIE JEAN NOWACZYK M D
NPI 1770511925
Military Health Care Provider in Saginaw, MI

Active since June 28, 2006PECOS Enrolled
1500 WEISS ST, SAGINAW, MI 48602(989) 497-2500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Bonnie Jean Nowaczyk M D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BONNIE JEAN NOWACZYK M D (NPI 1770511925) is an individual military health care provider provider in Saginaw, Michigan, licensed in Michigan (4301047035) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770511925
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. BONNIE JEAN NOWACZYKCredential: M D
Location Address1500 WEISS STSaginaw, MI 48602-5251
Mailing Address8980 Webster RdFreeland, MI 48623-9019 · (989) 695-2635
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1770511925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License Licensed in MI · 4301047035
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

1500 WEISS ST, Saginaw, MI 48602

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Bonnie Jean Nowaczyk M D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacotherapy)
1500 WEISS ST, (TRAVERSE CITY VA OUTPATIENT CLINIC)
SAGINAW, MI 48602
Physician Assistant
1500 WEISS ST
SAGINAW, MI 48602
Internal Medicine
1500 WEISS ST
SAGINAW, MI 48602
Nurse Anesthetist, Certified Registered
1500 WEISS ST
SAGINAW, MI 48602
Nurse Practitioner
1500 WEISS ST
SAGINAW, MI 48602
Family Medicine
1500 WEISS ST
SAGINAW, MI 48602
Social Worker (Clinical)
1500 WEISS ST
SAGINAW, MI 48602
Social Worker (Clinical)
1500 WEISS ST
SAGINAW, MI 48602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770511925, enumerated as an "individual" on June 28, 2006.

The provider is located at 1500 WEISS ST SAGINAW, MI 48602 and the phone number is (989) 497-2500.

Military Health Care Provider with taxonomy code 171000000X.