Charles Edward Bonfanti, PA - Medicare in Taos, NM

Charles Edward Bonfanti, PA is a medicare enrolled "Physician Assistant" in Taos, New Mexico. His current practice location is 630 Paseo Del Pueblo Sur, Suite 150, Taos, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 758-3005.

Charles Edward Bonfanti is licensed to practice in New Mexico (license number 75-PA002) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295792570.

Contact Information

Charles Edward Bonfanti, PA
630 Paseo Del Pueblo Sur, Suite 150,
Taos, NM 87571-6070
(575) 758-3005
(575) 758-7010



Provider's Profile

Full NameCharles Edward Bonfanti
GenderMale
Speciality
Experience Years
Location630 Paseo Del Pueblo Sur, Taos, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Edward Bonfanti attended and graduated from in
  NPI Data:
  • NPI Number: 1295792570
  • Provider Enumeration Date: 04/28/2006
  • Last Update Date: 02/03/2017
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Charles Edward Bonfanti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295792570NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 75-PA002 (New Mexico)Primary

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. Charles Edward Bonfanti 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
Charles Edward Bonfanti, PA
Po Box 158, Suite 150,
Espanola, NM 87532-0158

Ph: (505) 753-7218
Charles Edward Bonfanti, PA
630 Paseo Del Pueblo Sur, Suite 150,
Taos, NM 87571-6070

Ph: (575) 758-3005

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Physician Assistant Nurses in Taos, NM

Patrick Keenan Shanley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1219 Gusdorf Rd Ste A, Taos, NM 87571
Phone: 505-758-0009    Fax: 505-758-8736
Charlton Morgan Weyer, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1393 Weimer Rd, Taos, NM 87571
Phone: 575-758-8651    
Mr. Joshua Nguyen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 224 Cruz Alta Rd Ste G, Taos, NM 87571
Phone: 505-226-1296    
Dan F Thor, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1397 Weimer Rd, Taos, NM 87571
Phone: 575-737-3397    
Brittney Coe, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 630 Paseo Del Pueblo Sur Ste 125, Taos, NM 87571
Phone: 575-751-7430    
Ms. Elizabeth Anne Martinez, P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Weimer Rd, Taos, NM 87571
Phone: 505-758-2073    Fax: 505-751-3031

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