| Dustin Lee Bonzo, MD | |
|
1011 N Highway 69, Frontenac, KS 66763-8100 | |
| (620) 235-1377 | |
| Not Available |
| Full Name | Dustin Lee Bonzo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 1011 N Highway 69, Frontenac, Kansas |
| 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 |
|---|---|---|---|
| 1154884799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 04-44000 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Pittsburg, KS | Home health agency |
| Avalon Hospice (pittsburg) | Pittsburg, KS | Hospice |
| Girard Medical Center | Girard, KS | Hospital |
| Via Christi Hospital Pittsburg Inc | Pittsburg, KS | Hospital |
| Freeman Health System - Freeman West | Joplin, MO | Hospital |
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Medicalodges Frontenac | Frontenac, KS | Nursing home |
| Arma Operator, Llc | Arma, KS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital District No 1 Crawford County | 3476464538 | 21 |
| Entity Name | Hospital District No 1 Crawford County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508897182 PECOS PAC ID: 3476464538 Enrollment ID: O20040112000337 |
| Entity Name | Hospital District No 1 Crawford County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578505095 PECOS PAC ID: 3476464538 Enrollment ID: O20061104000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Lee Bonzo, MD 302 N Hospital Dr, Girard, KS 66743-2000 Ph: (620) 724-8291 | Dustin Lee Bonzo, MD 1011 N Highway 69, Frontenac, KS 66763-8100 Ph: (620) 235-1377 |