| Dr Gabriel L Bonilla, MD | |
|
2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168 | |
| (928) 600-6762 | |
| Not Available |
| Full Name | Dr Gabriel L Bonilla |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 26 Years |
| Location | 2526 W Rancho Laredo Dr, Phoenix, Arizona |
| 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 |
|---|---|---|---|
| 1023080744 | NPI | - | NPPES |
| 862913 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 32912 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Active Life Physical Medicine And Pain Center Pllc | 0941350953 | 3 |
| Entity Name | Active Life Physical Medicine And Pain Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811130016 PECOS PAC ID: 0941350953 Enrollment ID: O20090613000021 |
| Entity Name | Bella Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386065183 PECOS PAC ID: 8426274978 Enrollment ID: O20140718002012 |
| Entity Name | Rhad Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780339721 PECOS PAC ID: 4789070350 Enrollment ID: O20220407000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gabriel L Bonilla, MD 2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168 Ph: (928) 600-6762 | Dr Gabriel L Bonilla, MD 2526 W Rancho Laredo Dr, Phoenix, AZ 85085-7168 Ph: (928) 600-6762 |
Sam Arrow, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2627 N 3rd St Ste 203, Phoenix, AZ 85004 Phone: 602-834-8341 Fax: 844-693-0491 | |
Dr. Brent Michael Page, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3700 N 24th St Ste 210, Phoenix, AZ 85016 Phone: 602-840-0681 Fax: 602-957-1570 | |
Morgan Marie Loss, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014 Phone: 602-393-0520 | |
Liat Chana Avital, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14001 N 7th St Ste F112, Phoenix, AZ 85022 Phone: 480-265-2140 Fax: 480-265-2141 | |
Ragav Sharma, DO Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 775 E Willetta St, Phoenix, AZ 85006 Phone: 480-581-3900 | |
Schae Mcleod, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014 Phone: 602-393-0520 |