| Antonio Bonfiglio, | |
|
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
| (248) 898-5000 | |
| Not Available |
| Full Name | Antonio Bonfiglio |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| 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 |
|---|---|---|---|
| 1588633960 | NPI | - | NPPES |
| 3284476 | Medicaid | MI | |
| 010F362410 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301061277 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Emergency Physicians Pc | 6709798325 | 122 |
| Entity Name | Independent Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Emergency Department Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466 |
| Entity Name | Observation Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024 |
| Entity Name | Independent Observation Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio Bonfiglio, 3601 W 13 Mile Rd, 400-fsc/pcs, Royal Oak, MI 48073-6712 Ph: () - | Antonio Bonfiglio, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-5000 |
Amit Bahl, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, William Beaumont Hospital, Royal Oak, MI 48073 Phone: 248-898-0575 Fax: 248-898-4671 | |
Dr. Kasey Curtis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Dr. Kjerstin Hensley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Raymond Jackson, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Ec, Royal Oak, MI 48073 Phone: 248-898-2015 | |
Dr. Amy Smark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Department Of Emergency Medicine, Royal Oak, MI 48073 Phone: 248-898-1968 | |
Dr. Yamen Nackoud, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Butternut Ave, Royal Oak, MI 48073 Phone: 818-486-1511 | |
Sariely Sandoval, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |