| Maggie M Bonilla, DO | |
|
840 Sw 4th Ave Ste 105, Ontario, OR 97914-2638 | |
| (541) 881-2800 | |
| (541) 881-2825 |
| Full Name | Maggie M Bonilla |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 840 Sw 4th Ave Ste 105, Ontario, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649705492 | NPI | - | NPPES |
| 500840592 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 14735A (Wyoming) | Secondary |
| 208000000X | Pediatrics | DR.0077607 (Colorado) | Secondary |
| 207Q00000X | Family Medicine | DO219284 (Oregon) | Primary |
| Entity Name | Valley Family Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295415032 PECOS PAC ID: 0547169591 Enrollment ID: O20040305000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Maggie M Bonilla, DO 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 | Maggie M Bonilla, DO 840 Sw 4th Ave Ste 105, Ontario, OR 97914-2638 Ph: (541) 881-2800 |
Dr. Chris Richard Welter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2327 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2340 |
Dr. Paul C Gering Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1077 Sw 3rd Ave, Ontario, OR 97914 Phone: 541-889-0771 Fax: 541-889-8788 |
Dr. David W. Brauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 Phone: 208-302-2080 Fax: 208-302-5052 |
Mrs. Ashley M. Clements, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 777 Stanton Blvd, Ontario, OR 97914 Phone: 541-881-4959 Fax: 541-881-4996 |
Dr. Andrew Leon Bennett, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 896 Fortner St, Ontario, OR 97914 Phone: 541-881-2828 Fax: 541-881-2880 |
Christine Eileen Davenport-welter, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 Sw 4th Ave Ste 105, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 |
Jessica L Gibbons, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2327 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2340 Fax: 541-889-2593 |