Dr Thomas Charles Bonin, MD | |
459 Whitetail Ln, Greenwood, AR 72936-6821 | |
(479) 252-2070 | |
Not Available |
Full Name | Dr Thomas Charles Bonin |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 459 Whitetail Ln, Greenwood, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215902358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21066 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | E-0161 (Arkansas) | Primary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
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Dr Thomas Charles Bonin, MD 459 Whitetail Ln, Greenwood, AR 72936-6821 Ph: (479) 252-2070 | Dr Thomas Charles Bonin, MD 459 Whitetail Ln, Greenwood, AR 72936-6821 Ph: (479) 252-2070 |
Glenn G Gibbons, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1480 W Center St, Greenwood, AR 72936 Phone: 479-996-5585 Fax: 479-996-5386 | |
Dr. Lance W Barton, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 20 North Aster, Greenwood, AR 72936 Phone: 479-996-4111 Fax: 479-484-4793 | |
Wilson Javier Cruz-leal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1480 W Center St, Greenwood, AR 72936 Phone: 479-996-5585 Fax: 479-996-5386 | |
Dr. Aaron E White, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 North Aster, Greenwood, AR 72936 Phone: 479-996-4111 Fax: 479-484-4793 | |
Dr. Deborah A Hays, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 N Aster St, Greenwood, AR 72936 Phone: 479-996-4111 Fax: 479-484-4793 | |
Dr. Upton Gardner Siddons Sr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1480 W Center St, Greenwood, AR 72936 Phone: 479-996-5585 |