Mrs Reagan Darice Novak Bonin, MD | |
Charles Wilson Outpatient Clinic, 2206 N John Redditt Dr, Lufkin, TX 75904 | |
(936) 671-4300 | |
(936) 671-4323 |
Full Name | Mrs Reagan Darice Novak Bonin |
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Gender | Female |
Speciality | Internal Medicine |
Location | Charles Wilson Outpatient Clinic, Lufkin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407155070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD.207258 (Louisiana) | Primary |
Entity Name | Northern Louisiana Emergency Physicians, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598995847 PECOS PAC ID: 9638246846 Enrollment ID: O20090903000029 |
Mailing Address | Practice Location Address |
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Mrs Reagan Darice Novak Bonin, MD Charles Wilson Outpatient Va Clinic, 2206 N John Redditt Dr., Lufkin, TX 75904 Ph: (369) 671-4300 | Mrs Reagan Darice Novak Bonin, MD Charles Wilson Outpatient Clinic, 2206 N John Redditt Dr, Lufkin, TX 75904 Ph: (936) 671-4300 |
Ravinder R Bachireddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-632-8787 Fax: 936-632-8832 | |
Sean Moran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 W Frank Ave, Suite 100, Lufkin, TX 75904 Phone: 936-639-2244 | |
Dr. Thomas Lester Willis, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 302 Heather St, Lufkin, TX 75904 Phone: 936-637-6522 | |
Kyle G Krohn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Medical Center Blvd, Suite E, Lufkin, TX 75904 Phone: 936-632-8220 Fax: 936-632-8230 | |
Juan Antonio Hernandez, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 232 N John Redditt Dr Ste B, Lufkin, TX 75904 Phone: 936-634-7225 Fax: 936-639-4549 | |
Kevin L Hudson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-632-8787 Fax: 936-632-8832 | |
Dr. Jacob Mannoor Thomas, M.D., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 818 W Frank Ave, Lufkin, TX 75904 Phone: 936-639-6210 Fax: 936-639-2298 |