Mark R Bonnell, MD | |
2205 Mccallie Ave, Chattanooga, TN 37404-3230 | |
(423) 698-2435 | |
(423) 697-6173 |
Full Name | Mark R Bonnell |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 2205 Mccallie Ave, Chattanooga, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215123450 | NPI | - | NPPES |
3015767 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 61345 (Tennessee) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 61345 (Tennessee) | Primary |
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
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Mark R Bonnell, MD 2205 Mccallie Ave, Chattanooga, TN 37404-3230 Ph: (423) 698-2435 | Mark R Bonnell, MD 2205 Mccallie Ave, Chattanooga, TN 37404-3230 Ph: (423) 698-2435 |
Dr. Jeffrey Aaron Poynter, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St Ste C-520, Chattanooga, TN 37403 Phone: 423-778-5661 Fax: 423-778-5664 | |
Brett Alex Melnikoff, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave Ste F1009, Chattanooga, TN 37404 Phone: 423-624-5200 Fax: 423-697-2320 | |
Matthew Richey, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2525 Desales Ave Ste F1009, Chattanooga, TN 37404 Phone: 423-697-2000 Fax: 423-697-2320 | |
Mr. James Robert Headrick Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 605 Glenwood Drive, Suite 105, Chi Memorial Thoracic Oncology Associates, Chattanooga, TN 37404 Phone: 423-495-5864 Fax: 423-495-2065 | |
Wilson Monroe Clements, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2108 E 3rd St, Suite 300, Chattanooga, TN 37404 Phone: 423-624-5200 Fax: 423-624-4440 | |
Dr. James Lawrence Zellner, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2108 E 3rd St, Suite 300, Chattanooga, TN 37404 Phone: 423-624-5233 Fax: 423-624-4440 | |
Dr. Vanessa Marie Miller, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 2525 Desales Ave Ste F1009, Chattanooga, TN 37404 Phone: 423-697-2000 Fax: 423-697-2320 |