Dr Hana Bonefacic, MD | |
6341 University Ave Ne, Fridley, MN 55432-4946 | |
(763) 572-5710 | |
(763) 586-5955 |
Full Name | Dr Hana Bonefacic |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 6341 University Ave Ne, Fridley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578525697 | NPI | - | NPPES |
6603951 | Other | MN | MEDICA UC |
1199512 | Other | MN | AMERICA'S PPO |
1201137 | Other | MN | MEDICA |
529168200 | Medicaid | MN | |
1026176 | Other | MN | PREFERRED ONE |
7075448 | Other | MN | AETNA |
151487 | Other | MN | UCARE MN |
HP32337 | Other | MN | HEALTHPARTNERS |
003D2BO | Other | MN | BCBS OF MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 43372 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Mailing Address | Practice Location Address |
---|---|
Dr Hana Bonefacic, MD 6401 University Ave Ne, Fridley, MN 55432-4341 Ph: (763) 572-5710 | Dr Hana Bonefacic, MD 6341 University Ave Ne, Fridley, MN 55432-4946 Ph: (763) 572-5710 |
Angela Bennett, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Suite 215, Fridley, MN 55432 Phone: 763-236-2707 | |
Dr. Thomas F Rolewicz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5888 | |
Dr. James Patrick Bergstrom, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-586-5844 |