Mr Mark W Bonneville, MD | |
1013 Hart Blvd, Monticello, MN 55362-8575 | |
(763) 271-2386 | |
(763) 271-2890 |
Full Name | Mr Mark W Bonneville |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 40 Years |
Location | 1013 Hart Blvd, Monticello, Minnesota |
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 |
---|---|---|---|
1336129626 | NPI | - | NPPES |
069268900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35582 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centracare Health - Monticello | Monticello, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physicians Professional Association | 9537072657 | 211 |
Entity Name | Emergency Physicians Professional Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068 |
Entity Name | Centracare Health System - Melrose |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
Entity Name | Centracare Health System - Long Prairie |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20050823000460 |
Entity Name | Astera Health |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
Entity Name | Centracare Health System - Melrose |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20060504000839 |
Entity Name | Centracare Health System - Long Prairie |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20061104000579 |
Entity Name | Centracare Health System - Sauk Centre |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578813762 PECOS PAC ID: 4981857216 Enrollment ID: O20130116000380 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
Entity Name | Carris Health Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20220819001100 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark W Bonneville, MD 12955 30th Ave N, Plymouth, MN 55441-2738 Ph: (763) 553-1070 | Mr Mark W Bonneville, MD 1013 Hart Blvd, Monticello, MN 55362-8575 Ph: (763) 271-2386 |
Dr. Steven John Fuglestad, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1013 Hart Blvd, Monticello, MN 55362 Phone: 763-271-2248 Fax: 763-271-2890 | |
Dr. Mark A. Rawson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1013 Hart Blvd, Monticello, MN 55362 Phone: 763-271-2248 Fax: 763-271-2890 | |
Mr. William Beardsley Scheig, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1013 Hart Boulevard, Monticello, MN 55362 Phone: 763-295-2945 Fax: 763-271-2847 |