Maggie M Bonilla, DO | |
840 Sw 4th Ave Ste 105, Ontario, OR 97914-2638 | |
(541) 881-2800 | |
(541) 881-2825 |
Full Name | Maggie M Bonilla |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 840 Sw 4th Ave Ste 105, Ontario, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649705492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 14735A (Wyoming) | Secondary |
207Q00000X | Family Medicine | DO219284 (Oregon) | Primary |
Entity Name | Community Health Center Of Central Wyoming Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447480561 PECOS PAC ID: 3375454705 Enrollment ID: O20031105000279 |
Entity Name | Lander Valley Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810 |
Mailing Address | Practice Location Address |
---|---|
Maggie M Bonilla, DO 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 | Maggie M Bonilla, DO 840 Sw 4th Ave Ste 105, Ontario, OR 97914-2638 Ph: (541) 881-2800 |
Dr. Paul C Gering Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1077 Sw 3rd Ave, Ontario, OR 97914 Phone: 541-889-0771 Fax: 541-889-8788 | |
Dr. David W. Brauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 Sw 13th St, Ontario, OR 97914 Phone: 541-889-8410 Fax: 541-889-8093 | |
Daisy L Miller, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1219 Sw 4th Ave Unit 2, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 | |
Mrs. Ashley M. Clements, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 777 Stanton Blvd, Ontario, OR 97914 Phone: 541-881-4959 Fax: 541-881-4996 | |
Dr. Vernon E Barton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 894 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-0847 Fax: 541-889-0849 | |
Dr. Andrew Leon Bennett, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 896 Fortner St, Ontario, OR 97914 Phone: 541-881-2828 Fax: 541-881-2880 | |
Dr. Bryon D Hemphill, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 896 Fortner St, Ontario, OR 97914 Phone: 415-881-2828 Fax: 541-881-2808 |