Mildrede N Bonglack, MD - Medicare Obstetrics/gynecology in Fresno, CA

Mildrede N Bonglack, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Fresno, California. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Obstetrics/gynecology. Her current practice location is 2210 E Illinois Ave Ste 408, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 443-2694.

Mildrede N Bonglack is licensed to practice in California (license number A204492) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1134612013.

Contact Information

Mildrede N Bonglack, MD
2210 E Illinois Ave Ste 408,
Fresno, CA 93701-2184
(559) 443-2694
(559) 443-2696

Map and Direction




Physician's Profile

Full NameMildrede N Bonglack
GenderFemale
SpecialityObstetrics/gynecology
Experience8 Years
Location2210 E Illinois Ave Ste 408, Fresno, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mildrede N Bonglack graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1134612013
  • Provider Enumeration Date: 06/14/2018
  • Last Update Date: 01/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7719233626
  • Enrollment ID: I20250506000984

Medical Identifiers

Medical identifiers for Mildrede N Bonglack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134612013NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VF0040XObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery A204492 (California)Primary
207V00000XObstetrics & Gynecology A204492 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mildrede N Bonglack allows following entities to bill medicare on her behalf.
Entity NameTrihealth H Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811215742
PECOS PAC ID: 1850570458
Enrollment ID: O20110128000356

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mildrede N Bonglack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mildrede N Bonglack, MD
2625 E Divisadero St,
Fresno, CA 93721-1431

Ph: (559) 453-5200
Mildrede N Bonglack, MD
2210 E Illinois Ave Ste 408,
Fresno, CA 93701-2184

Ph: (559) 443-2694

Reviews and Comments


Obstetrics & Gynecology Doctors in Fresno, CA

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Pamela Louise Emeney, M.D.
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Practice Location: 2210 E Illinois Ave Ste 408, Fresno, CA 93701
Phone: 559-443-2694    Fax: 559-443-2696
Willie Lee Brown Jr., MD
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Practice Location: 2384 E Gettysburg Ave, Fresno, CA 93726
Phone: 559-233-0335    Fax: 559-233-0315
Mrs. Kim I Morris, N.P.
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Medicare: Not Enrolled in Medicare
Practice Location: 2210 E Illinois Ave Ste 505, Fresno, CA 93701
Phone: 559-266-8989    Fax: 559-266-8994

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.