| Brett J Bonynge, MD | |
|
8840 Calumet Ave Ste 103, Munster, IN 46321-2546 | |
| (219) 836-7246 | |
| Not Available |
| Full Name | Brett J Bonynge |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 8840 Calumet Ave Ste 103, Munster, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083246821 | NPI | - | NPPES |
| Entity Name | Washington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235985003 PECOS PAC ID: 2062329931 Enrollment ID: O20031226000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett J Bonynge, MD 8840 Calumet Ave Ste 103, Munster, IN 46321-2546 Ph: (219) 836-7246 | Brett J Bonynge, MD 8840 Calumet Ave Ste 103, Munster, IN 46321-2546 Ph: (219) 836-7246 |
Miss Kathryn Lillian Trojan, FNP-BC Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 | |
Shanu Kondamuri, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 | |
Satish Dasari, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 | |
Ravi Kanakamedala, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 8840 Calumet Ave, Suite 103, Munster, IN 46321 Phone: 219-836-7246 Fax: 219-836-6454 |