Katherine Bonnichsen, MD - Medicare Dermatology in Pierre, SD

Katherine Bonnichsen, MD is a medicare enrolled "Dermatology" physician in Pierre, South Dakota. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Avera St Marys and her current practice location is Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 945-5217.

Katherine Bonnichsen is licensed to practice in South Dakota (license number 10974) 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 1003234832.

Contact Information

Katherine Bonnichsen, MD
Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave,
Pierre, SD 57501
(605) 945-5217
Not Available



Physician's Profile

Full NameKatherine Bonnichsen
GenderFemale
SpecialityDermatology
Experience10 Years
LocationAvera Medical Group Pierre - Helmsley Center, Pierre, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katherine Bonnichsen attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 2014
  NPI Data:
  • NPI Number: 1003234832
  • Provider Enumeration Date: 03/29/2014
  • Last Update Date: 12/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1658598289
  • Enrollment ID: I20180919000099

Medical Identifiers

Medical identifiers for Katherine Bonnichsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003234832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 10974 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera St Mary's HospitalPierre, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avera St Marys014313496584

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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. Katherine Bonnichsen allows following entities to bill medicare on her behalf.
Entity NameAvera St Marys
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669457180
PECOS PAC ID: 0143134965
Enrollment ID: O20040225000579

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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. Katherine Bonnichsen 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 AddressPractice Location Address
Katherine Bonnichsen, MD
Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave,
Pierre, SD 57501

Ph: (605) 945-5217
Katherine Bonnichsen, MD
Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave,
Pierre, SD 57501

Ph: (605) 945-5217

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Dermatology Doctors in Pierre, SD


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