| Dr John Anthony Buonocore, DO | |
|
3005 E State Blvd, Fort Wayne, IN 46805-4736 | |
| (260) 267-9498 | |
| Not Available |
| Full Name | Dr John Anthony Buonocore |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 3005 E State Blvd, Fort Wayne, Indiana |
| 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 |
|---|---|---|---|
| 1992801492 | NPI | - | NPPES |
| 1992801492 | Medicaid | MI | |
| 0103569 | Medicaid | OH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Logansport Hospital, Inc | Logansport, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Dysphagia Consultants Llc | 8820360795 | 17 |
| Pain Management Group Llc | 0143453670 | 54 |
| Pain Management Group Llc | 0143453670 | 54 |
| Cleanslate Medical Group Of Indiana Llc | 4880963909 | 60 |
| Midwest Dysphagia Consultants Llc | 8820360795 | 17 |
| Entity Name | Pain Management Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063831303 PECOS PAC ID: 0143453670 Enrollment ID: O20141031001114 |
| Entity Name | Midwest Dysphagia Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639404171 PECOS PAC ID: 8820360795 Enrollment ID: O20170828002434 |
| Entity Name | Cleanslate Medical Group of Indiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Anthony Buonocore, DO 3005 E State Blvd, Fort Wayne, IN 46805-4736 Ph: (260) 267-9498 | Dr John Anthony Buonocore, DO 3005 E State Blvd, Fort Wayne, IN 46805-4736 Ph: (260) 267-9498 |
Dr. Courtney J. Laubach, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812 |
Sarah Anne Lasalle, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 |
Dr. Gregory C Pond, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-425-6030 |
James M Brackmann, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875 |
Dr. Jared Coffman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1721 Magnavox Way, Fort Wayne, IN 46804 Phone: 260-748-3650 Fax: 260-569-2305 |
Oliver Schantz, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-2594 |
Bradley L Schantz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812 |