Mr John Mark Buonomo Sr, DO is a medicare enrolled "Family Medicine" physician in Philadephia, Pennsylvania. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. His current practice location is
446 Domino Lane, Philadephia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 483-8666.
Mr John Mark Buonomo Sr is licensed to practice in Pennsylvania (license number OS006593-L) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619918638.
Physician's Profile
Full Name | Mr John Mark Buonomo Sr |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 37 Years |
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Location | 446 Domino Lane, Philadephia, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr John Mark Buonomo Sr attended and graduated from Philadelphia College Of Osteopathic Medicine in 1987
NPI Data:
- NPI Number: 1619918638
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 04/26/2010
Medicare PECOS Information:
- PECOS PAC ID: 2961694997
- Enrollment ID: I20101008001108
Medical Identifiers
Medical identifiers for Mr John Mark Buonomo Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619918638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | OS006593-L (Pennsylvania) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr John Mark Buonomo Sr allows following entities to bill medicare on his behalf.
Entity Name | Buonomo Medical Associates Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083917801 PECOS PAC ID: 1355528159 Enrollment ID: O20110603000253 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Mark Buonomo Sr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr John Mark Buonomo Sr, DO 446 Domino Lane, Philadephia, PA 19128 Ph: (215) 483-8666 | Mr John Mark Buonomo Sr, DO 446 Domino Lane, Philadephia, PA 19128 Ph: (215) 483-8666 |
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