Dr Brian K Bonish, MD | |
615 Valley View Dr Ste 204, Moline, IL 61265-6180 | |
(309) 227-6552 | |
(309) 277-6553 |
Full Name | Dr Brian K Bonish |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 21 Years |
Location | 615 Valley View Dr Ste 204, Moline, Illinois |
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 |
---|---|---|---|
1184885980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 62964 (Minnesota) | Secondary |
207N00000X | Dermatology | 036-120481 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Entity Name | Rush University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457360703 PECOS PAC ID: 9234129206 Enrollment ID: O20040513000487 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053783308 PECOS PAC ID: 3779471701 Enrollment ID: O20151130001424 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian K Bonish, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Brian K Bonish, MD 615 Valley View Dr Ste 204, Moline, IL 61265-6180 Ph: (309) 227-6552 |
Una Clare Miniter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Rd Ste 200, Moline, IL 61265 Phone: 309-779-4200 Fax: 309-779-4305 | |
Dr. Barbara Ann Lindman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 600 John Deere Rd, Suite 200, Moline, IL 61265 Phone: 309-779-4310 Fax: 309-779-4305 | |
Dr. Naurin Ehsan Ahmad, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Rd, Suite 200, Moline, IL 61265 Phone: 309-779-4200 | |
Dr. Donna Lynne Poesch, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1302 7th St, Suite 202, Moline, IL 61265 Phone: 309-277-0772 Fax: 309-277-0774 | |
Dr. Israel V Fernando, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3709 16th St, Moline, IL 61265 Phone: 309-797-2713 Fax: 309-797-9558 | |
Dr. Rachel Ade Koziczkowski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 870 36th Ave, Moline, IL 61265 Phone: 309-623-7100 Fax: 309-623-7079 |