Dr Anthony Bonfiglio, MD | |
10303 N Port Washington Rd, Suite 101, Mequon, WI 53092-5760 | |
(262) 240-0440 | |
(262) 240-0441 |
Full Name | Dr Anthony Bonfiglio |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 43 Years |
Location | 10303 N Port Washington Rd, Mequon, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144319104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 25545-020 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083768253 PECOS PAC ID: 3779471701 Enrollment ID: O20040310000252 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Bonfiglio, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (866) 630-9882 | Dr Anthony Bonfiglio, MD 10303 N Port Washington Rd, Suite 101, Mequon, WI 53092-5760 Ph: (262) 240-0440 |
Mrs. Lori A Heinrich, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 10303 N Port Washington Rd, Suite 101, Mequon, WI 53092 Phone: 262-240-0440 Fax: 262-240-0441 | |
David W Mai, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 Fax: 262-387-8271 | |
Michael John Knabel, Dermatology Medicare: Medicare Enrolled Practice Location: 12831 N Port Washington Rd, Mequon, WI 53097 Phone: 262-643-1300 | |
Dr. Gabriela Madeleine Morris, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 |