Michael L Bonebrake, MD | |
2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | |
(618) 465-9024 | |
(618) 462-6828 |
Full Name | Michael L Bonebrake |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 17 Years |
Location | 2 Saint Anthonys Way, Alton, Illinois |
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 |
---|---|---|---|
1740487545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R8024 (Iowa) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 2012015911 (Missouri) | Secondary |
208600000X | Surgery | 036133685 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Clare Health Center | Fenton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Michael L Bonebrake, MD 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 Ph: (618) 465-9024 | Michael L Bonebrake, MD 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 Ph: (618) 465-9024 |
Dr. James A Kliefoth, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Professional Dr, Ste 150, Alton, IL 62002 Phone: 618-463-8660 Fax: 618-463-8666 | |
Dr. Christopher Ryan Aldridge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-463-7833 | |
Raman Kumar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Saint Anthonys Way Ste 305, Alton, IL 62002 Phone: 618-465-9024 Fax: 618-462-6828 | |
Dr. Paolo Masetti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 Fax: 636-333-4510 | |
Matthew C Musielak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230b, Alton, IL 62002 Phone: 618-463-7833 | |
John D. Zander, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1751 Washington Ave, Alton, IL 62002 Phone: 773-839-9794 | |
Dr. Shoichiro Alberto Tanaka, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr, Div Surg Plastics, Ste 101, Alton, IL 62002 Phone: 618-433-6131 Fax: 618-433-6128 |