George J Bonnevie Iii, MD | |
680 Centre St, Radiology Department, Brockton, MA 02302-3308 | |
(508) 941-7150 | |
(508) 941-6104 |
Full Name | George J Bonnevie Iii |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 680 Centre St, Brockton, Massachusetts |
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 |
---|---|---|---|
1790738250 | NPI | - | NPPES |
2005883 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 217144 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Signature Healthcare Medical Group Inc | 7719876267 | 178 |
Entity Name | Signature Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
Entity Name | Brockton Radiological Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497867923 PECOS PAC ID: 1456325018 Enrollment ID: O20040820000668 |
Mailing Address | Practice Location Address |
---|---|
George J Bonnevie Iii, MD 680 Centre St, Radiology Department, Brockton, MA 02302-3308 Ph: (508) 941-7150 | George J Bonnevie Iii, MD 680 Centre St, Radiology Department, Brockton, MA 02302-3308 Ph: (508) 941-7150 |
Steven Hun Kyu Oh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538 | |
Stephen T Sweriduk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198 | |
Ketan Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198 | |
George William Poulos, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Signature Healthcare, Brockton Hospital, Radiology, Brockton, MA 02302 Phone: 508-941-7150 | |
Jorge Ganson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538 | |
David S Titelbaum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 Westgate Dr, Brockton, MA 02301 Phone: 800-258-4674 Fax: 508-897-3198 | |
Donald M Greenstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Radiology Department, Brockton, MA 02301 Phone: 508-427-3106 Fax: 508-427-2538 |