Vincent Anthony Bonanno, MD | |
4881 Sugar Maple Dr, Wpafb, OH 45433-5546 | |
(937) 257-9926 | |
(937) 257-1529 |
Full Name | Vincent Anthony Bonanno |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 4881 Sugar Maple Dr, Wpafb, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447225735 | NPI | - | NPPES |
2304689 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35079926 (Ohio) | Primary |
Entity Name | Five Rivers Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
Mailing Address | Practice Location Address |
---|---|
Vincent Anthony Bonanno, MD 4881 Sugar Maple Dr, Wpafb, OH 45433-5546 Ph: (937) 257-9926 | Vincent Anthony Bonanno, MD 4881 Sugar Maple Dr, Wpafb, OH 45433-5546 Ph: (937) 257-9926 |
Dr. Sneh L Patwa, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2325 Fifth Street, Wpafb, OH 45433 Phone: 937-904-8385 | |
Gregory D. Carbonella, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-713-6567 | |
Dr. Daniel Vernon Foster, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 88 Mdg/sghj, 4881 Sugar Maple Drive, Wpafb, OH 45433 Phone: 937-257-1591 Fax: 937-656-1128 | |
Dr. Dara Daniela Regn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 88 Medical Group, 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-7218 | |
Dr. Alicia Marie Latta, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-208-2004 | |
Ian Michael Delvalle, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 88th Medical Group, 4881 Sugar Maple Dr., Wpafb, OH 45305 Phone: 937-257-0837 |