| Mark A Bonner, MD | |
|
2630 E Citizens Dr Ste 13, Fayetteville, AR 72703-4797 | |
| (479) 571-6000 | |
| (479) 571-3344 |
| Full Name | Mark A Bonner |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 2630 E Citizens Dr Ste 13, Fayetteville, Arkansas |
| 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 |
|---|---|---|---|
| 1437188869 | NPI | - | NPPES |
| 113998001 | Medicaid | AR | |
| P00200111 | Other | AR | RR MCR |
| 51916 | Other | AR | AR BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C-7247 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mission Family Practice, Pllc | 4587987540 | 2 |
| Entity Name | Mission Family Practice, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982009395 PECOS PAC ID: 4587987540 Enrollment ID: O20141223001222 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Bonner, MD 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 Ph: (479) 571-6000 | Mark A Bonner, MD 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703-4797 Ph: (479) 571-6000 |
Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469 | |
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057 | |
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793 | |
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 688 E Millsap Rd Ste 101, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933 | |
Stanley Bradley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120 | |
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 |