Mark A Bonner, MD | |
2630 E Citizens Dr Ste 13, Fayetteville, AR 72703-4797 | |
(479) 571-6000 | |
(479) 571-3344 |
Full Name | Mark A Bonner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 2630 E Citizens Dr Ste 13, Fayetteville, Arkansas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437188869 | NPI | - | NPPES |
113998001 | Medicaid | AR | |
P00200111 | Other | AR | RR MCR |
51916 | Other | AR | AR BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C-7247 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Washington Regional Medical Center | Fayetteville, AR | Hospital |
Northwest Medical Center-springdale | Springdale, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mission Family Practice, Pllc | 4587987540 | 2 |
Fands Physical Therapy, Inc | 7810898459 | 80 |
Entity Name | Mission Family Practice, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982009395 PECOS PAC ID: 4587987540 Enrollment ID: O20141223001222 |
Mailing Address | Practice Location Address |
---|---|
Mark A Bonner, MD 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 Ph: (479) 571-6000 | Mark A Bonner, MD 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703-4797 Ph: (479) 571-6000 |
Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469 | |
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057 | |
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793 | |
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933 | |
Stanley Bradley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120 | |
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 |