Dr Raymond M Bonneau, MD | |
165 Rowland Way Ste 100, Novato, CA 94945-5055 | |
(415) 898-4211 | |
(415) 898-9252 |
Full Name | Dr Raymond M Bonneau |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 165 Rowland Way Ste 100, Novato, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790866283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | G30247 (California) | Primary |
Entity Name | Prima Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811217946 PECOS PAC ID: 6406040138 Enrollment ID: O20101027000334 |
Mailing Address | Practice Location Address |
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Dr Raymond M Bonneau, MD 165 Rowland Way Ste 100, Novato, CA 94945-5055 Ph: (415) 898-4211 | Dr Raymond M Bonneau, MD 165 Rowland Way Ste 100, Novato, CA 94945-5055 Ph: (415) 898-4211 |
Mark S Lawler, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7100 Redwood Blvd, Suite 200, Novato, CA 94945 Phone: 415-492-1600 Fax: 415-492-1688 | |
Dr. Yoshihiro Katsuura, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 165 Rowland Way Ste 208, Novato, CA 94945 Phone: 415-697-8659 Fax: 415-817-9339 | |
Nicholas H. Mast, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Rowland Way Ste 200, Novato, CA 94945 Phone: 415-530-5330 Fax: 415-530-5333 |