John A Bodnar, MD | |
250 Prospect Pl, Coronado, CA 92118-1943 | |
(619) 522-3722 | |
Not Available |
Full Name | John A Bodnar |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 250 Prospect Pl, Coronado, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912909938 | NPI | - | NPPES |
00A521450 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A052145 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
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John A Bodnar, MD Po Box 28247, Tempe, AZ 85285-8247 Ph: (480) 967-6500 | John A Bodnar, MD 250 Prospect Pl, Coronado, CA 92118-1943 Ph: (619) 522-3722 |
Roberto Medero Colon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 114 F Ave, Coronado, CA 92118 Phone: 787-399-0723 | |
Maria G Lopez, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 | |
Dr. Adam Weissman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 | |
Isabel Benavides, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 480-967-6500 Fax: 480-967-6540 | |
William M Wansa, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 | |
Peter Mann, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 | |
Jessica Morgan Bogle, FNP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3722 Fax: 619-522-3790 |