Ernest Lincoln Bonner Jr, MD | |
1406 Park St, Suite 400, Alameda, CA 94501-4560 | |
(810) 864-9600 | |
(510) 864-9690 |
Full Name | Ernest Lincoln Bonner Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1406 Park St, Alameda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992785703 | NPI | - | NPPES |
00A304771 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A30477 (California) | Primary |
Entity Name | Medical Doctors Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407237159 PECOS PAC ID: 0446550214 Enrollment ID: O20151130001937 |
Mailing Address | Practice Location Address |
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Ernest Lincoln Bonner Jr, MD 1406 Park St, Suite 400, Alameda, CA 94501-4560 Ph: (810) 864-9600 | Ernest Lincoln Bonner Jr, MD 1406 Park St, Suite 400, Alameda, CA 94501-4560 Ph: (810) 864-9600 |
Dr. Lorraine Bonner, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2070 Clinton Ave, Rm 2113, Alameda, CA 94501 Phone: 510-814-4397 Fax: 510-814-4391 | |
Dr. William S Lowery, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2070 Clinton Ave, Alameda, CA 94501 Phone: 510-814-4089 Fax: 510-521-4187 | |
Dr. Anita C. Gaind, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2217 S Shore Ctr Ste 250, Alameda, CA 94501 Phone: 510-323-4410 Fax: 510-694-0776 | |
Dr. Alvaro Daniel Waissbluth, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2070 Clinton Ave Fl 3, Alameda, CA 94501 Phone: 510-522-6323 | |
Kinjal Patel, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2217 S Shore Ctr # 250, Alameda, CA 94501 Phone: 510-323-4410 Fax: 510-694-0776 | |
David R. Craney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2417 Central Ave, Alameda, CA 94501 Phone: 510-749-5731 | |
Dr. Catherine K Pyun, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2070 Clinton Ave, Alameda, CA 94501 Phone: 510-514-4397 Fax: 510-814-4391 |