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MRS. MADONNA KAY BONNER PAC NPI 1841271897


NPI Information

NPI: 1841271897
Provider Name: MRS. MADONNA KAY BONNER, PAC
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
720 BEVERLY PIKE
ELKINS, WV
ZIP 26241
Phone: (304) 636-4585
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MRS. Madonna Kay Bonner, PAC is a physician assistant in Elkins, WV. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MRS. Madonna Kay Bonner, PAC NPI is 1841271897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 BEVERLY PIKE
ELKINS, WV
ZIP 26241-205
Phone: (304) 636-4585
Fax: (304) 637-4588

The NPI 1841271897 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant00400WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001837930OTHERWEST VIRGINIAMTN STATE SERVICE NUMBER
2734619OTHERWEST VIRGINIANCPPO PROVIDER
3001837930OTHERWEST VIRGINIAMT ST BCBS SERVICE PROVIDER #
43000318OTHERWEST VIRGINIABRICKSTREET WORKERS COMP
5FQ400OTHERWEST VIRGINIAHEALTH PLAN PROVIDER NO.
6001804181OTHERWEST VIRGINIAMTN STATE BC/BS PAY TO 1
71023337OTHERWEST VIRGINIANCCPA
8P00328118OTHERWEST VIRGINIARAILROAD MEDICARE
9001967359OTHERWEST VIRGINIAMTN STATE BC/BS PAY TO 2
103810005145MEDICAIDWEST VIRGINIA
1100400OTHERWEST VIRGINIAWVBOM PA-C LICENSE
12WV400OTHERWEST VIRGINIAHEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.