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IndividualActiveTelehealthMedicare EnrolledPrescriberCan Order/Refer

Jack E Bonham

PA

Physician Assistant

NPI: 1396058608Beech Grove, Indiana, 46107(317) 802-3151Male

About Jack E Bonham

Jack E Bonham, PA, is a male healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1396058608. Jack E Bonham received his medical education at OTHER, graduating in 2010.

Their primary practice is located at 1600 ALBANY ST, Beech Grove, Indiana 46107. Patients can reach the office at (317) 802-3151. In addition to the primary location, Jack E Bonham maintains 5 additional practice locations.

Jack E Bonham is enrolled in Medicare and accepts Medicare patients, offers telehealth services for remote virtual consultations, is authorized to order and refer Medicare services, is authorized to prescribe medications.

As a prescriber, Jack E Bonham has 360 prescription claims processed, totaling $21,892 in drug costs. Jack E Bonham has been NPI-registered since 2010.

Key Metrics

Rx Claims

360

$21,892.19

Practice Locations

6

Doctor Details

Identity & Credentials

NPI Number
1396058608
Entity Type
Individual
First Name
Jack
Last Name
Bonham
Credential
PA
Gender
Male
Medical School
OTHER
Graduation Year
2010
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1600 ALBANY ST
City
Beech Grove
State
Indiana
ZIP
46107-1541
Country
United States
Phone
(317) 802-3151
Fax
(317) 870-0499

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 7112
City
INDIANAPOLIS
State
IN
ZIP
462077112

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
Yes
Excluded
No

Prescriber Information

Authorized Prescriber
Yes
Total Rx Claims
360
Total Rx Cost
$21,892.19

Frequently Asked Questions

What is Jack E Bonham's NPI number?
Jack E Bonham's National Provider Identifier (NPI) is 1396058608. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jack E Bonham specialize in?
Jack E Bonham specializes in Physician Assistant. They received their medical education at OTHER (class of 2010).
Where is Jack E Bonham located?
Jack E Bonham practices at 1600 ALBANY ST, Beech Grove, Indiana 46107. You can reach them by phone at (317) 802-3151. They also have 5 additional practice locations.
Does Jack E Bonham accept Medicare?
Yes, Jack E Bonham is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Jack E Bonham offer telehealth or virtual visits?
Yes, Jack E Bonham offers telehealth services, which means you can schedule virtual consultations or appointments remotely via video or phone.
Can Jack E Bonham prescribe medications?
Yes, Jack E Bonham is an authorized prescriber. They have processed 360 prescription claims totaling $21,892.19.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack E Bonham is 1396058608.