Mckenzie Bonifield, - Medicare Nurse Practitioner in Carbondale, IL

Mckenzie Bonifield, is a medicare enrolled "Nurse Practitioner - Family" in Carbondale, Illinois. Her current practice location is 400 S Lewis Ln, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Mckenzie Bonifield is licensed to practice in Illinois (license number 209022703) 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 1205411204.

Contact Information

Mckenzie Bonifield,
400 S Lewis Ln,
Carbondale, IL 62901-3547
(618) 519-9200
Not Available



Provider's Profile

Full NameMckenzie Bonifield
GenderFemale
SpecialityNurse Practitioner - Family
Location400 S Lewis Ln, Carbondale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205411204
  • Provider Enumeration Date: 03/11/2021
  • Last Update Date: 03/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355758061
  • Enrollment ID: I20210325000273

Medical Identifiers

Medical identifiers for Mckenzie Bonifield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205411204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209022703 (Illinois)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. Mckenzie Bonifield allows following entities to bill medicare on her behalf.
Entity NameShawnee Health Service And Development Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639295314
PECOS PAC ID: 1658285671
Enrollment ID: O20031120000454

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› Verified 5 days ago

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. Mckenzie Bonifield 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
Mckenzie Bonifield,
109 California St, Po Box 577,
Carterville, IL 62918-0577

Ph: (618) 519-9200
Mckenzie Bonifield,
400 S Lewis Ln,
Carbondale, IL 62901-3547

Ph: (618) 519-9200

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Nurse Practitioner Nurses in Carbondale, IL

Miss Whitney Mcguire, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901
Phone: 618-351-4972    Fax: 618-351-6522
Ashley Nicole Mitchell, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901
Phone: 618-529-7821    
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Lindsay B Casolari, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Ms. Heather Dawn Davis, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 305 W Jackson St Ste 206, Carbondale, IL 62901
Phone: 618-457-3006    Fax: 618-457-3008
Andrea Williams, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878

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