Mr John Mark Buonomo Sr, DO is a medicare enrolled "Family Medicine" physician in Philadephia, Pennsylvania. His current practice location is
446 Domino Lane, Philadephia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 483-8666.
Mr John Mark Buonomo Sr is licensed to practice in Pennsylvania (license number OS006593-L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619918638.
Physician's Profile
| Full Name | Mr John Mark Buonomo Sr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 446 Domino Lane, Philadephia, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619918638
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 04/26/2010
Medicare PECOS Information:
- PECOS PAC ID: 2961694997
- Enrollment ID: I20101008001108
Medical Identifiers
Medical identifiers for Mr John Mark Buonomo Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619918638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | OS006593-L (Pennsylvania) | Primary |
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. Mr John Mark Buonomo Sr allows following entities to bill medicare on his behalf.
| Entity Name | Buonomo Medical Associates Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083917801 PECOS PAC ID: 1355528159 Enrollment ID: O20110603000253 |
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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. Mr John Mark Buonomo Sr 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 Address | Practice Location Address |
Mr John Mark Buonomo Sr, DO 446 Domino Lane, Philadephia, PA 19128 Ph: (215) 483-8666 | Mr John Mark Buonomo Sr, DO 446 Domino Lane, Philadephia, PA 19128 Ph: (215) 483-8666 |
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