| Dr Goldwyn Bonner Foggie, MD | |
|
15620 Wood St, Harvey, IL 60426-4171 | |
| (708) 333-3030 | |
| (708) 333-6060 |
| Full Name | Dr Goldwyn Bonner Foggie |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 15620 Wood St, Harvey, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013925387 | NPI | - | NPPES |
| 036094353 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036094353 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Glendive Medical Center | Glendive, MT | Hospital |
| Billings Clinic | Billings, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gabert Medical Services Inc | 2668385402 | 29 |
| Gabert Medical Services Inc | 2668385402 | 29 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Goldwyn Bonner Foggie, MD 9730 S Western Ave, Ste 100, Evergreen Park, IL 60805-2814 Ph: (708) 425-1907 | Dr Goldwyn Bonner Foggie, MD 15620 Wood St, Harvey, IL 60426-4171 Ph: (708) 333-3030 |
Shanice Leeann Robinson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Aishat Mobosola Adebisi, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Ms. Amy R Dysart, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 855-826-3878 | |
Mrs. Sharon Michele James, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 15620 South Wood Street, Harvey, IL 60426 Phone: 708-333-3030 Fax: 708-333-6060 | |
Dr. Catherine M Wilbert, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Dr. Erica E Taylor, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 |