| Dr Brian K Bonish, MD | |
|
615 Valley View Dr Ste 204, Moline, IL 61265-6180 | |
| (309) 227-6552 | |
| (309) 277-6553 |
| Full Name | Dr Brian K Bonish |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 22 Years |
| Location | 615 Valley View Dr Ste 204, Moline, Illinois |
| 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 |
|---|---|---|---|
| 1184885980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 62964 (Minnesota) | Secondary |
| 207N00000X | Dermatology | 036-120481 (Illinois) | 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: 1053783308 PECOS PAC ID: 3779471701 Enrollment ID: O20151130001424 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian K Bonish, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Brian K Bonish, MD 615 Valley View Dr Ste 204, Moline, IL 61265-6180 Ph: (309) 227-6552 |
Una Clare Miniter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Rd Ste 200, Moline, IL 61265 Phone: 309-779-4200 Fax: 309-779-4305 | |
Dr. Barbara Ann Lindman, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 600 John Deere Rd, Suite 200, Moline, IL 61265 Phone: 309-779-4310 Fax: 309-779-4305 | |
Dr. Naurin Ehsan Ahmad, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 600 John Deere Rd, Suite 200, Moline, IL 61265 Phone: 309-779-4200 | |
Kimberly K Schulz, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1000 36th Ave Ste 101, Moline, IL 61265 Phone: 319-400-0477 | |
Dr. Donna Lynne Poesch, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1302 7th St, Suite 202, Moline, IL 61265 Phone: 309-277-0772 Fax: 309-277-0774 | |
Dr. Israel V Fernando, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3709 16th St, Moline, IL 61265 Phone: 309-797-2713 Fax: 309-797-9558 |