Dr James Theodor Bonucchi, DO | |
960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | |
(417) 269-4450 | |
(417) 269-4470 |
Full Name | Dr James Theodor Bonucchi |
---|---|
Gender | Male |
Speciality | Endocrinology |
Experience | 21 Years |
Location | 960 E Walnut Lawn, Springfield, Missouri |
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 |
---|---|---|---|
1225054109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 3718 (Iowa) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 2008009810 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cox Medical Centers | Springfield, MO | Hospital |
Cox Medical Center Branson | Branson, MO | Hospital |
Cox Monett Hospital | Monett, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Skaggs Community Hospital Association | 5092624320 | 132 |
Lester E Cox Medical Centers | 5799787784 | 194 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
Entity Name | Skaggs Community Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346352606 PECOS PAC ID: 5092624320 Enrollment ID: O20060511000211 |
Entity Name | Lester E Cox Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164595153 PECOS PAC ID: 5799787784 Enrollment ID: O20070205000198 |
Mailing Address | Practice Location Address |
---|---|
Dr James Theodor Bonucchi, DO Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-5712 | Dr James Theodor Bonucchi, DO 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 Ph: (417) 269-4450 |
Dr. Mark H. Grimm, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Dr. Sridevi Durga, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807 Phone: 417-875-2633 Fax: 417-875-3295 | |
Bradley D Wiley, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |