| Dr Alice Loy Bonnell, MD | |
|
2222 Cherry St, Suite 1800, Toledo, OH 43608-2673 | |
| (419) 251-8027 | |
| Not Available |
| Full Name | Dr Alice Loy Bonnell |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 2222 Cherry St, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083878904 | NPI | - | NPPES |
| 0051881 | Medicaid | OH | |
| 35090670 | Other | OH | OH MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35.090670 (Ohio) | Primary |
| Entity Name | Promedica Central Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245444959 PECOS PAC ID: 6709975345 Enrollment ID: O20071204000485 |
| Entity Name | Northwest Pediatric Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alice Loy Bonnell, MD 2222 Cherry St, Ste 1800, Toledo, OH 43608-2679 Ph: () - | Dr Alice Loy Bonnell, MD 2222 Cherry St, Suite 1800, Toledo, OH 43608-2673 Ph: (419) 251-8027 |
Dr. Saleem Shahzad Zafar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3355 Meijer Dr, Toledo, OH 43617 Phone: 419-725-6850 Fax: 419-725-6853 | |
Philip Wong, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2120 W Central Ave, Toledo, OH 43606 Phone: 419-531-8558 Fax: 419-697-7705 | |
Dr. Carin V Hopps, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2120 W Central Ave, Toledo, OH 43606 Phone: 419-531-8558 Fax: 419-697-7705 | |
Dr. Mirza Moazzam-ali Baig, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3355 Meijer Dr, Toledo, OH 43617 Phone: 419-725-6850 Fax: 419-725-6853 | |
Eric A Pizza, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3500 Executive Pkwy, Toledo, OH 43606 Phone: 419-531-8558 Fax: 419-578-5939 | |
Gregor K Emmert Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3500 Executive Pkwy, Toledo, OH 43606 Phone: 419-531-8558 Fax: 419-578-5939 |