Dr Bonifasiyo K Ssennyamantono, MD - Medicare Cardiovascular Disease (cardiology) in Avondale, AZ

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Dr Bonifasiyo K Ssennyamantono, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Avondale, Arizona. He went to Columbia University College Of Physicians And Surgeons and graduated in 2000 and has 24 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Integrated Medical Services Inc, Summit Healthcare Association, Sjhmc Physician Services, Summit Healthcare Medical Associates and his current practice location is 10815 W Mcdowell Rd, Suite 202, Avondale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 433-0202.

Dr Bonifasiyo K Ssennyamantono is licensed to practice in Arizona (license number 35788) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902813678.

Contact Information

Dr Bonifasiyo K Ssennyamantono, MD
10815 W Mcdowell Rd, Suite 202,
Avondale, AZ 85392-5007
(623) 433-0202
(623) 433-0206

Map and Direction




Physician's Profile

Full NameDr Bonifasiyo K Ssennyamantono
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience24 Years
Location10815 W Mcdowell Rd, Avondale, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Bonifasiyo K Ssennyamantono attended and graduated from Columbia University College Of Physicians And Surgeons in 2000
  NPI Data:
  • NPI Number: 1902813678
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 07/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082611280
  • Enrollment ID: I20061101000157

Medical Identifiers

Medical identifiers for Dr Bonifasiyo K Ssennyamantono such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902813678NPI-NPPES
129134MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 35788 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summit Healthcare Regional Medical CenterShow low, AZHospital
St. Joseph's Hospital And Medical CenterPhoenix, AZHospital
Abrazo West CampusGoodyear, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Medical Services Inc105232840874
Summit Healthcare Association377956864757
Sjhmc Physician Services4486646197547
Summit Healthcare Medical Associates872920573779

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Bonifasiyo K Ssennyamantono allows following entities to bill medicare on his behalf.
Entity NameLa Paz Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083639983
PECOS PAC ID: 1557273356
Enrollment ID: O20031219000694
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameSummit Healthcare Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144209271
PECOS PAC ID: 3779568647
Enrollment ID: O20040623001125
Entity NameSt. Joseph's Hospital And Medical Center C/o Dignity Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255382412
PECOS PAC ID: 6709863178
Enrollment ID: O20040702000601
Entity NameIntegrated Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760441141
PECOS PAC ID: 1052328408
Enrollment ID: O20060309000742
Entity NameHospital Development Of West Phoenix Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013100692
PECOS PAC ID: 4981515764
Enrollment ID: O20080118000329
Entity NameSummit Healthcare Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467878108
PECOS PAC ID: 8729205737
Enrollment ID: O20140815000931

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bonifasiyo K Ssennyamantono is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bonifasiyo K Ssennyamantono, MD
3815 E Bell Rd Ste 4500,
Phoenix, AZ 85032-2171

Ph: (602) 633-3848		Dr Bonifasiyo K Ssennyamantono, MD
10815 W Mcdowell Rd, Suite 202,
Avondale, AZ 85392-5007

Ph: (623) 433-0202

Reviews and Comments


Internal Medicine Doctors in Avondale, AZ

Dr. Vikram Kapur, M.D
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10450 W Mcdowell Rd, Suite 101, Avondale, AZ 85392
Phone: 623-935-1000    Fax: 623-935-1022
Arun S. Patil, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10815 W Mcdowell Rd, Suite 202, Avondale, AZ 85392
Phone: 623-433-0202    Fax: 623-433-0204
Dr. Hursh Naik, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10815 W Mcdowell Rd Ste 202, Avondale, AZ 85392
Phone: 623-433-0202    Fax: 623-433-0204
Adhar Seth, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10815 W Mcdowell Rd, Suite 202, Avondale, AZ 85392
Phone: 623-433-0202    Fax: 623-433-0204
Melanie Noel Hernandez, FNP-C
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392
Phone: 623-935-1000    
Dr. Kathleen A Nichols, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 13055 W Mcdowell Rd, Suite E-106, Avondale, AZ 85392
Phone: 623-975-8400    Fax: 623-935-2975
Mr. Devendra V Gulaya, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10320 W Mcdowell Rd, Bldg N1445, Avondale, AZ 85392
Phone: 623-547-2100    Fax: 623-547-3005

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.