Daniel Ryan Bonifield, DO | |
3704 North Blvd, Suite 1, Alexandria, LA 71301-3658 | |
(318) 442-8399 | |
Not Available |
Full Name | Daniel Ryan Bonifield |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | 3704 North Blvd, Alexandria, Louisiana |
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 |
---|---|---|---|
1942513288 | NPI | - | NPPES |
2406094 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 300305 (Louisiana) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 300305 (Louisiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wyoming Medical Center | Casper, WY | Hospital |
Community Hospital | Torrington, WY | Hospital |
Platte County Memorial Hospital | Wheatland, WY | Hospital |
Washakie Medical Center | Worland, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Casper Medical Imaging, P.c. | 8224010871 | 11 |
Outpatient Radiology Llc | 8628051596 | 10 |
Entity Name | Casper Medical Imaging, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316908940 PECOS PAC ID: 8224010871 Enrollment ID: O20040607000423 |
Entity Name | Outpatient Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396704474 PECOS PAC ID: 8628051596 Enrollment ID: O20050930000527 |
Mailing Address | Practice Location Address |
---|---|
Daniel Ryan Bonifield, DO 3704 North Blvd, Suite 1, Alexandria, LA 71301-3658 Ph: (318) 442-8399 | Daniel Ryan Bonifield, DO 3704 North Blvd, Suite 1, Alexandria, LA 71301-3658 Ph: (318) 442-8399 |
Dr. Gloria Norcio Fernandez, Radiology Medicare: Not Enrolled in Medicare Practice Location: 303 Versailles Blvd, Alexandria, LA 71303 Phone: 318-449-1919 | |
Dr. Devin Kendrick Tighe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3704 North Blvd Ste 1, Alexandria, LA 71301 Phone: 318-442-8399 Fax: 318-448-9897 | |
Dr. Sanat Valji Sanghani, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 605a Medical Center Dr, Alexandria, LA 71301 Phone: 318-449-7200 | |
Dr. Christian Anthony Scheuermann, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3704 North Blvd, Suite 1, Alexandria, LA 71301 Phone: 318-442-8399 | |
Mr. Alfred A Mansour Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3704 North Blvd, Suite 1, Alexandria, LA 71301 Phone: 318-442-8399 Fax: 318-448-9897 | |
Dr. Lawrence P Menache, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3330 Masonic Dr, Cancer Center, Alexandria, LA 71301 Phone: 318-448-6917 Fax: 318-484-2505 |