Antonino Bommarito, PA-C - Medicare Physician Assistant in Green Bay, WI

Antonino Bommarito, PA-C is a medicare enrolled "Physician Assistant" in Green Bay, Wisconsin. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St Clare Memorial Hospital Inc, Door County Memorial Hospital, St Vincent Hospital-hospital Sisters-third Order Of St Francis, St. Nicholas Hospital-sisters Of The Third Order Of St Francis and his current practice location is 1110 Kepler Dr, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-5555.

Antonino Bommarito is licensed to practice in Wisconsin (license number 5614) 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 1396416053.

Contact Information

Antonino Bommarito, PA-C
1110 Kepler Dr,
Green Bay, WI 54311-8306
(920) 288-5555
(920) 288-5550

Map and Direction




Provider's Profile

Full NameAntonino Bommarito
GenderMale
SpecialityPhysician Assistant
Experience3 Years
Location1110 Kepler Dr, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Antonino Bommarito graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1396416053
  • Provider Enumeration Date: 09/22/2021
  • Last Update Date: 09/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496145526
  • Enrollment ID: I20211206000183

Medical Identifiers

Medical identifiers for Antonino Bommarito such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396416053NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 5614 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Door County Medical CenterSturgeon bay, WIHospital
Hshs St Clare Memorial HospitalOconto falls, WIHospital
St Vincent HospitalGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Clare Memorial Hospital Inc044621139535
Door County Memorial Hospital539573508867
St Vincent Hospital-hospital Sisters-third Order Of St Francis5799694675546
St. Nicholas Hospital-sisters Of The Third Order Of St Francis8325931652151

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. Antonino Bommarito 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 AddressPractice Location Address
Antonino Bommarito, PA-C
1035 Kepler Dr,
Green Bay, WI 54311-8320

Ph: (920) 490-9046
Antonino Bommarito, PA-C
1110 Kepler Dr,
Green Bay, WI 54311-8306

Ph: (920) 288-5555

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.