Dr Bonnie K White, MD | |
1100 Sawgrass Village Dr, Suite 100, Ponte Vedra Beach, FL 32082-5048 | |
(904) 285-9355 | |
(904) 285-7442 |
Full Name | Dr Bonnie K White |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1100 Sawgrass Village Dr, Ponte Vedra Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336146653 | NPI | - | NPPES |
1892968001 | Other | OH | CIGNA |
OC07700 | Other | OH | NATIONWIDE HEALTH PLANS |
0859110 | Medicaid | OH | |
341106740029 | Other | OH | CARESOURCE |
83307 | Other | OH | PHCS |
1006360 | Other | OH | UNITED HEALTHCARE |
R62590 | Other | OH | SUMMA CARE |
000000127390 | Other | OH | ANTHEM |
4211817 | Other | OH | AETNA |
53013 | Other | OH | QUAL CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME99063 (Florida) | Secondary |
208000000X | Pediatrics | 35062590 (Ohio) | Primary |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
Mailing Address | Practice Location Address |
---|---|
Dr Bonnie K White, MD 6210 Saint Andrews Ct, Ponte Vedra Beach, FL 32082-2063 Ph: (904) 273-8039 | Dr Bonnie K White, MD 1100 Sawgrass Village Dr, Suite 100, Ponte Vedra Beach, FL 32082-5048 Ph: (904) 285-9355 |
Holly Savino, PNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1102 A1a N Ste 104, Ponte Vedra Beach, FL 32082 Phone: 904-743-2100 Fax: 904-273-6532 | |
Dr. Lucy S Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 149 Sawmill Lakes Blvd, Ponte Vedra Beach, FL 32082 Phone: 904-280-3699 | |
Dr. Anthony Andrew Perszyk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1110 A1a N Ste 101, Ponte Vedra Beach, FL 32082 Phone: 904-673-0044 Fax: 904-673-1064 | |
Julie A Buckley, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5270 Palm Valley Rd, Ponte Vedra Beach, FL 32082 Phone: 904-543-1288 Fax: 904-543-1289 | |
Dr. Karen Harkavy Toker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6030 Oakbrook Ct, Ponte Vedra Beach, FL 32082 Phone: 904-285-6851 Fax: 904-285-5112 | |
Dr. Aylin Ozdemir, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1102 A1a N Ste 104, Ponte Vedra Beach, FL 32082 Phone: 904-273-6533 Fax: 904-273-6532 |