Mark W Bonner, MD is a medicare enrolled "Dermatology" provider in Macon, Georgia. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1986 and has 38 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Georgia Dermatology And Skin Cancer Center, Llc and his current practice location is
1157 Forsyth St, Macon, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 745-8581.
Mark W Bonner is licensed to practice in Georgia (license number 057047) 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 1811961600.
Healthcare Provider's Profile
| Full Name | Mark W Bonner |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 38 Years |
|---|
| Location | 1157 Forsyth St, Macon, Georgia |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mark W Bonner attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1986
NPI Data:
- NPI Number: 1811961600
- Provider Enumeration Date: 02/16/2006
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537189865
- Enrollment ID: I20051201000790
Medical Identifiers
Medical identifiers for Mark W Bonner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811961600 | NPI | - | NPPES |
| 413577315A | Medicaid | GA | |
| DC4061 | Other | GA | RAILROAD MEDICARE |
| P00258031 | Other | GA | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 057047 (Georgia) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 057047 (Georgia) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 057047 (Georgia) | Secondary |
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 057047 (Georgia) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 057047 (Georgia) | Secondary |
| 183500000X | Pharmacist | 057047 (Georgia) | Secondary |
| 208D00000X | General Practice | 057047 (Georgia) | Secondary |
| 207N00000X | Dermatology | 057047 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Georgia Dermatology And Skin Cancer Center, Llc | 7113980855 | 49 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark W Bonner allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Dermatology & Skin Cancer Center, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1063460459
PECOS PAC ID: 7113980855
Enrollment ID: O20041104000512 |
|---|
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. Mark W Bonner 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 Address | Practice Location Address |
|---|
Mark W Bonner, MD
2400 Bellevue Rd Ste 21a,
Dublin, GA 31021-2890
Ph: (478) 275-7202 | Mark W Bonner, MD
1157 Forsyth St,
Macon, GA 31201
Ph: (478) 745-8581 |
Reviews and Comments