Dr Daniel James Bonomo, MD | |
1407 20th Ave E, Palmetto, FL 34221-6523 | |
(914) 552-6842 | |
(914) 560-2121 |
Full Name | Dr Daniel James Bonomo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1407 20th Ave E, Palmetto, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285738625 | NPI | - | NPPES |
01045367 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME152253 (Florida) | Primary |
Entity Name | Florida Post Acute Care Clinicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811398811 PECOS PAC ID: 3971820598 Enrollment ID: O20150319001562 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel James Bonomo, MD 1407 20th Ave E, Palmetto, FL 34221-6523 Ph: (914) 552-6842 | Dr Daniel James Bonomo, MD 1407 20th Ave E, Palmetto, FL 34221-6523 Ph: (914) 552-6842 |
Patti Dolan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6706 16th Ave E, Palmetto, FL 34221 Phone: 727-580-5176 | |
Dr. John Johnson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 9th St W, Palmetto, FL 34221 Phone: 941-981-5643 Fax: 941-981-5644 | |
Coleen Ann Ellis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 10th St E, Palmetto, FL 34221 Phone: 941-847-7903 Fax: 941-847-7919 | |
Michael D Burday, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 931 10th St E, Palmetto, FL 34221 Phone: 941-847-7903 Fax: 941-847-7919 | |
Dr. Clinton Douglas Holder, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4604 29th St E, Palmetto, FL 34221 Phone: 941-845-4572 Fax: 941-845-4572 | |
Dr. James Ellis Pope, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 Riviera Dunes Way, Palmetto, FL 34221 Phone: 813-760-2359 |