| Michael L Bonebrake, MD | |
|
2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 | |
| (618) 465-9024 | |
| (618) 462-6828 |
| Full Name | Michael L Bonebrake |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 19 Years |
| Location | 2 Saint Anthonys Way, Alton, Illinois |
| 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 |
|---|---|---|---|
| 1740487545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R8024 (Iowa) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | 2012015911 (Missouri) | Secondary |
| 208600000X | Surgery | 036133685 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Clare Health Center | Fenton, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Bonebrake, MD 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 Ph: (618) 465-9024 | Michael L Bonebrake, MD 2 Saint Anthonys Way, Suite 305, Alton, IL 62002-4569 Ph: (618) 465-9024 |
Dr. James A Kliefoth, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Professional Dr, Ste 150, Alton, IL 62002 Phone: 618-463-8660 Fax: 618-463-8666 | |
Dr. Christopher Ryan Aldridge, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002 Phone: 618-463-7833 | |
Raman Kumar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Saint Anthonys Way Ste 305, Alton, IL 62002 Phone: 618-465-9024 Fax: 618-462-6828 | |
Dr. Paolo Masetti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Memorial Dr, Alton, IL 62002 Phone: 618-463-7311 Fax: 636-333-4510 | |
Matthew C Musielak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Memorial Dr Ste 230b, Alton, IL 62002 Phone: 618-463-7833 | |
John D. Zander, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1751 Washington Ave, Alton, IL 62002 Phone: 773-839-9794 | |
Dr. Reginald Kai Mason, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Saint Anthonys Way Ste 105, Alton, IL 62002 Phone: 618-465-2761 Fax: 618-465-4750 |