NPIMap

Individual provider Active NPI

Bonnie L Hafeman, M.D.

  • Family Medicine Physician
  • Laurium, MI
National Provider Identifier
1922114271
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301056168 Issued in MI
Practice address
300 Hecla Street
Laurium, MI 49913-2134
Phone
(906) 337-9533
Fax
(906) 337-4788
NPI assigned
Aug 21, 2006
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BH056168 MI
Family Medicine Physician 207Q00000X 4301056168 MI Primary

Addresses

Primary practice location

300 Hecla Street
Laurium, MI 49913-2134

Mailing address

205 Osceola Street
Laurium, MI 49913-2134
Phone (906) 337-6072

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
I20100830000921 MI Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Hospice/Palliative Care 8527086594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care, Obstetrics/Gynecology
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians
Laurium Wellness Center, P.C.Group PAC ID 2264450238, 2 clinicians

Practice addresses (Care Compare)

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100

300 Hecla St
Laurium, MI 49913-2128
Phone (906) 337-9355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as apm
Quality
52.91
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions31
Removal of nail tissue47
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301056168MIMDFamily Medicine Physician
BH056168MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurium Wellness Center, P.C. Family Medicine CurrentSince Feb 13, 2019 Accepting new patients
Houghton County Medical Care Facility Past Accepting new patients
Mission Point of Hancock LLC Past Accepting new patients
Our Lady of Mercy Convalescent Home, Inc. Past Accepting new patients

Locations

300 Hecla St
Laurium, MI 49913
Phone (906) 337-9355

300 Hecla St
Ste 16
Laurium, MI 49913

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCJEDD/Endpoint/JCJEDD

Organizations & group practices 4

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1922114271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OSCEOLA STREET",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-6072",
            "fax_number": "906-337-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HECLA STREET",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-9533",
            "fax_number": "906-337-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEMAN",
        "first_name": "BONNIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "BH056168",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301056168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurium, MI

Sources for this page

Verify at the official NPI Registry.