Lucas Bonafede, MD | |
33080 Utica Rd Ste B, Fraser, MI 48026-2038 | |
(586) 296-7250 | |
(586) 296-0276 |
Full Name | Lucas Bonafede |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 9 Years |
Location | 33080 Utica Rd Ste B, Fraser, Michigan |
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 |
---|---|---|---|
1871975383 | NPI | - | NPPES |
38-1359063 | Other | MI | EMPLOYEE IDENTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 4301502199 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Eye Care Provider Pllc | 1254611809 | 16 |
Entity Name | Michigan Eye Care Provider Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598151318 PECOS PAC ID: 1254611809 Enrollment ID: O20161216002192 |
Mailing Address | Practice Location Address |
---|---|
Lucas Bonafede, MD 33080 Utica Rd Ste B, Fraser, MI 48026-2038 Ph: (586) 296-7250 | Lucas Bonafede, MD 33080 Utica Rd Ste B, Fraser, MI 48026-2038 Ph: (586) 296-7250 |
Dr. Mahdi Basha, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd, Fraser, MI 48026 Phone: 586-296-7250 Fax: 586-296-7256 | |
James R Valice, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd, Fraser, MI 48026 Phone: 586-296-7250 Fax: 586-296-0276 | |
Patrick M Verb, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 33080 Utica Rd, Fraser, MI 48026 Phone: 586-296-7250 Fax: 586-296-7256 |