Dr Wendell Rhett Bonner, MD | |
4212 Grand Ave, Duluth, MN 55807 | |
(218) 786-3500 | |
Not Available |
Full Name | Dr Wendell Rhett Bonner |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4212 Grand Ave, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033140660 | NPI | - | NPPES |
380838600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 38966 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 38966 (Minnesota) | Primary |
Entity Name | Pine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
Entity Name | Deer River Healthcare Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225049018 PECOS PAC ID: 1850388448 Enrollment ID: O20040427000428 |
Entity Name | Northern Pines Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
Entity Name | Deer River Healthcare Center Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1225049018 PECOS PAC ID: 1850388448 Enrollment ID: O20061104000444 |
Entity Name | Northern Pines Medical Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20090603000087 |
Entity Name | Essentia Health Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
Entity Name | Essentia Health Moose Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
Entity Name | Welia Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20220125001227 |
Mailing Address | Practice Location Address |
---|---|
Dr Wendell Rhett Bonner, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-3500 | Dr Wendell Rhett Bonner, MD 4212 Grand Ave, Duluth, MN 55807 Ph: (218) 786-3500 |
Dr. Kylie Elizabeth Kraft, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122 | |
Steven Peter Phillipson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4621 E Superior St, Duluth, MN 55804 Phone: 218-786-3550 Fax: 218-525-7487 | |
Dr. Jennifer Lynn Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 221-872-3111 Fax: 218-529-9120 | |
Dr. Eric David Boehmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Joseph Christopher Metzger Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122 | |
Ms. Kayla Jean Olds, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1414 Woodland Ave, Duluth, MN 55803 Phone: 218-302-1000 | |
Dr. Rachel Marie Wilcox, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9103 |