| Alyssa Bonta, MD | |
|
3533 Southern Blvd Ste 2200, Dayton, OH 45429-1264 | |
| (937) 228-4126 | |
| (937) 424-8659 |
| Full Name | Alyssa Bonta |
|---|---|
| Gender | Female |
| Speciality | Vascular Surgery |
| Experience | 14 Years |
| Location | 3533 Southern Blvd Ste 2200, Dayton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215227004 | NPI | - | NPPES |
| H618980 | Other | MEDICARE | |
| 0279347 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35.122523 (Ohio) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 35.122523 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Fort Hamilton Hughes Memorial Hospital | Hamilton, OH | Hospital |
| Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
| Soin Medical Center | Beaver creek, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 602 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Bonta, MD 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Alyssa Bonta, MD 3533 Southern Blvd Ste 2200, Dayton, OH 45429-1264 Ph: (937) 228-4126 |
Dr. Vijay Kiran Jayanti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St Ste Nw3300, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-641-2780 | |
Dr. Victor N Nanagas Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: One Childrens Plaza, Ste 2071, Dayton, OH 45404 Phone: 937-461-5020 Fax: 937-641-3107 | |
Randy J Woods, MD Surgery Medicare: Medicare Enrolled Practice Location: 30 East Apple Street, Suite 5253, Dayton, OH 45409 Phone: 937-208-2552 Fax: 937-208-6154 | |
Philip Copelain Williams Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: One Elizabeth Place, Suite 10a, Dayton, OH 45408 Phone: 937-228-4156 Fax: 937-228-0247 | |
Robert D Keighley, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 829 Timberlake Ct, Dayton, OH 45429 Phone: 419-236-3315 | |
Akpofure P Ekeh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 East Apple Street, Suite 5253, Dayton, OH 45409 Phone: 937-208-2552 Fax: 937-208-6154 | |
Alice Wang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd Ste F, Dayton, OH 45459 Phone: 937-208-5300 Fax: 937-208-5650 |