ERICHSEN R BONOSTRO PAC
NPI 1902170327
Physician Assistant - Surgical in Lakeland, FL
About Erichsen R Bonostro Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICHSEN R BONOSTRO PAC (NPI 1902170327) is an individual surgical provider in Lakeland, Florida, licensed in Florida (PA9106442) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Erichsen R Bonostro Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeland Regional Medical Center
Acute Care Hospitals · Lakeland, FLMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LAKELAND, FL 33805
LAKELAND, FL 33805
LAKELAND, FL 33805
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Erichsen Bonostro's NPI number?
The NPI number for Erichsen Bonostro is 1902170327. It was assigned to this individual provider in the NPPES registry on March 2, 2012.
Where is Erichsen Bonostro located?
Erichsen Bonostro practices at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 687-1321.
What is Erichsen Bonostro's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Erichsen Bonostro enrolled in Medicare?
Yes. Erichsen Bonostro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Erichsen Bonostro accept?
Health plans from UnitedHealthcare list Erichsen Bonostro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Erichsen Bonostro affiliated with any hospitals?
According to CMS data, Erichsen Bonostro is affiliated with Lakeland Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Erichsen Bonostro was last updated on July 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Erichsen R Bonostro, PAC · NPI 1902170327
Surgical physician in Lakeland, Florida. Individual provider, active in the CMS NPPES registry since March 2, 2012.
## Identity
- **NPI:** 1902170327 (Entity type: Individual)
- **Enumerated:** March 2, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA9106442 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1324 LAKELAND HILLS BLVD, Lakeland, FL 33805-4543
- **Phone:** (863) 687-1321 · **Fax:** (863) 284-1730
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** July 7, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1902170327) · Data from the CMS NPPES public registry.