Dennis M Orellana Bonilla, NP | |
12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | |
(262) 857-5000 | |
Not Available |
Full Name | Dennis M Orellana Bonilla |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 12500 Aurora Dr, Pleasant Prairie, Wisconsin |
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 |
---|---|---|---|
1992177976 | NPI | - | NPPES |
100104753 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 10203 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Dennis M Orellana Bonilla, NP Po Box 735044, Chicago, IL 60673-6223 Ph: (262) 857-5000 | Dennis M Orellana Bonilla, NP 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5000 |
Lauren M Gehrig, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 | |
Laronda James, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-656-3338 Fax: 262-656-3368 | |
Shannon L Yow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 414-290-6720 Fax: 414-290-6755 | |
Mankaa Vifansi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10505 Corporate Dr Ste 105g, Pleasant Prairie, WI 53158 Phone: 224-623-7883 | |
Mutsa Vollmer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 | |
Jennifer Erich, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10256 Old Green Bay Rd Fl 2, Pleasant Prairie, WI 53158 Phone: 262-551-4200 | |
Dr. Christina Marie Stallard, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5400 |