Bonnie Nadaene Grude, - Medicare Nurse Practitioner in Shawnee, OK

Bonnie Nadaene Grude, is a medicare enrolled "Nurse Practitioner - Family" in Shawnee, Oklahoma. Her current practice location is 5903 Gabriel, Shawnee, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 470-0324.

Bonnie Nadaene Grude is licensed to practice in Oklahoma (license number 201526) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154905321.

Contact Information

Bonnie Nadaene Grude,
5903 Gabriel,
Shawnee, OK 74804-9334
(918) 470-0324
Not Available



Provider's Profile

Full NameBonnie Nadaene Grude
GenderFemale
SpecialityNurse Practitioner - Family
Location5903 Gabriel, Shawnee, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154905321
  • Provider Enumeration Date: 05/12/2021
  • Last Update Date: 07/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688823479
  • Enrollment ID: I20221202000235

Medical Identifiers

Medical identifiers for Bonnie Nadaene Grude such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154905321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201526 (Oklahoma)Primary

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. Bonnie Nadaene Grude allows following entities to bill medicare on her behalf.
Entity NameSimple Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871035022
PECOS PAC ID: 2961545207
Enrollment ID: O20100208000825

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Entity NameAmerican Current Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871770784
PECOS PAC ID: 9739260019
Enrollment ID: O20111108000162

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Entity NameWilliams Medical Group Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346608809
PECOS PAC ID: 3375832157
Enrollment ID: O20181228001300

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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. Bonnie Nadaene Grude 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
Bonnie Nadaene Grude,
701 Ne 36th St,
Oklahoma City, OK 73105-7203

Ph: () -
Bonnie Nadaene Grude,
5903 Gabriel,
Shawnee, OK 74804-9334

Ph: (918) 470-0324

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› Verified 1 days ago


Nurse Practitioner Nurses in Shawnee, OK

Dustin Wade,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2508 N Harrison St, Shawnee, OK 74804
Phone: 405-585-2030    
Mrs. Sabrina R Lafrance, CNP-FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 30 Redbud Ln, Shawnee, OK 74801
Phone: 509-554-9250    
Susan George,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 405-878-5850    
Cindy Cheatwood, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2508 N Harrison St, Shawnee, OK 74804
Phone: 405-585-2030    Fax: 405-585-2859
Ms. Janet Sue Pasquali Bowers, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3306 N Kickapoo Ave, Suite 150 & 154, Shawnee, OK 74804
Phone: 405-628-6535    Fax: 405-628-6532
Christopher Keith Carpenter, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3214 Kethley Rd, Shawnee, OK 74804
Phone: 405-273-5801    Fax: 405-878-3814

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