Patricia A Bona-Kustra, D.C.
Individual provider Active NPI Orthopedic Chiropractor · Blue Bell, PA
NPI 1851346290 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1851346290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Chiropractor 111NX0800X
- License
- DC003461L (PA)
- Practice address
- 914 Skippack Pike
Blue Bell, PA 19422-1535 - Phone
- (215) 540-0776
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Broad Axe Chiropractic Center
Practice addresses (Care Compare)
914 Skippack Pike
Blue Bell, PA 19422-1535
Phone (215) 540-0776
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120103000349 | PA | Practitioner - Chiropractic | 4688840242 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad Axe Chiropractic Center | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | DC003461L | PA | Yes |
Addresses
Primary practice location
914 Skippack Pike
Blue Bell, PA 19422-1535
Mailing address
914 Skippack Pike
Blue Bell, PA 19422-1535
Phone (215) 540-0776
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001241670 02 | Other | PA | UNITED HEALTHCARE |
| 001384519 | Other | PA | HIGHMARK BLUE SHIELD |
| 0847332 | Other | PA | AETNA |
| 0109289000 | Other | PA | BC PERSONAL CHOICE |
Other providers in Blue Bell, PA
- Blue Bell Optique
- Blue Bell Psychiatry
- Blue Horizon Ventures LLC
- Andrew R Blumenthal
- Ellen Bock
- Kamala N Bongiorno
- Kristen Marie Boor
- Ashley Jillian Bossert
- Andrea Cristina Bozak
- Erin E Brady
All providers in Blue Bell, PA · Orthopedic Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.