Mark W Bonner, MD is a medicare enrolled "Dermatology" provider in Macon, Georgia. 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 |
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| Speciality | |
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| Experience | Years |
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| Location | 1157 Forsyth St, Macon, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark W Bonner attended and graduated from in
NPI Data:
- NPI Number: 1811961600
- Provider Enumeration Date: 02/16/2006
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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