| Dr Anthony Bonfiglio, MD | |
|
10303 N Port Washington Rd, Suite 101, Mequon, WI 53092-5760 | |
| (262) 240-0440 | |
| (262) 240-0441 |
| Full Name | Dr Anthony Bonfiglio |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 44 Years |
| Location | 10303 N Port Washington Rd, Mequon, Wisconsin |
| 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 |
|---|---|---|---|
| 1144319104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 25545-020 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 568 |
| Entity Name | Forefront Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083768253 PECOS PAC ID: 3779471701 Enrollment ID: O20040310000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Bonfiglio, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (866) 630-9882 | Dr Anthony Bonfiglio, MD 10303 N Port Washington Rd, Suite 101, Mequon, WI 53092-5760 Ph: (262) 240-0440 |
Mrs. Lori A Heinrich, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 10303 N Port Washington Rd, Suite 101, Mequon, WI 53092 Phone: 262-240-0440 Fax: 262-240-0441 | |
David W Mai, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 Fax: 262-387-8271 | |
Michael John Knabel, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12831 N Port Washington Rd, Mequon, WI 53097 Phone: 262-643-1300 | |
Dr. Gabriela Madeleine Morris, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 |