Ryan James Bonham, CRNA | |
695 N Kellogg St, Galesburg, IL 61401-2807 | |
(309) 343-8131 | |
Not Available |
Full Name | Ryan James Bonham |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 695 N Kellogg St, Galesburg, Illinois |
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 |
---|---|---|---|
1225414667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209012691 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Anesthesiologists Sc | 6305744129 | 127 |
Entity Name | Associated Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
Entity Name | St Mary Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982668851 PECOS PAC ID: 8628038015 Enrollment ID: O20050407000802 |
Entity Name | Osf Healthcare System |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Entity Name | Clinical Colleagues Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316399967 PECOS PAC ID: 8729011333 Enrollment ID: O20161006000618 |
Mailing Address | Practice Location Address |
---|---|
Ryan James Bonham, CRNA 508 N Missouri Ave, Morton, IL 61550-1711 Ph: (309) 657-3758 | Ryan James Bonham, CRNA 695 N Kellogg St, Galesburg, IL 61401-2807 Ph: (309) 343-8131 |
Patricia M Wilson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Ann Weik, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Timothy F Sullivan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-434-8131 | |
Mr. Nicholas Becker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Jill D Whiteside, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Christine Fredrickson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 |