NPIMap

Individual provider Active NPI

Bonita H. Gawel, P.A.C.

  • Physician Assistant
  • Hillman, MI
National Provider Identifier
1508896762
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003552 Issued in MI
Practice address
15774 State Street
Hillman, MI 49746-8818
Phone
(989) 742-4583
Fax
(989) 742-4298
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003552 MI Primary

Addresses

Primary practice location

15774 State Street
Hillman, MI 49746-8818

Mailing address

PO Box 427
Hillman, MI 49746-0427
Phone (989) 742-4583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000301 MI Practitioner - Physician Assistant 9537177498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003552MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thunder Bay Community Health Service, Inc CurrentSince Apr 14, 2008 Accepting new patients
Thunder Bay Community Health Service, Inc CurrentSince Apr 14, 2008 Accepting new patients
Thunder Bay Community Health Service, Inc Past Accepting new patients

Locations

11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thunder Bay Community Health Service Inc 39 clinicians

Practice addresses (Care Compare)

11899 M
Suite 32
Atlanta, MI 49709-9374
Phone (989) 785-4855

15774 State St
Hillman, MI 49746-7961
Phone (989) 742-4583

PO Box
Suite 427
Hillman, MI 49746-0427

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1508896762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497460427",
            "telephone_number": "989-742-4583",
            "fax_number": "989-742-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15774 STATE STREET",
            "city": "HILLMAN",
            "state": "MI",
            "postal_code": "497468818",
            "telephone_number": "989-742-4583",
            "fax_number": "989-742-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAWEL",
        "first_name": "BONITA",
        "middle_name": "H.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillman, MI

Sources for this page

Verify at the official NPI Registry.