| Thomas Bonifer, MD | |
|
2006 Hogback Rd, Suite 5a, Ann Arbor, MI 48105-9750 | |
| (734) 786-4940 | |
| Not Available |
| Full Name | Thomas Bonifer |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 2006 Hogback Rd, Ann Arbor, Michigan |
| 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 |
|---|---|---|---|
| 1811943657 | NPI | - | NPPES |
| 103350746 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2330 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 4301066975 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Anesthesia Providers Pc | 4789579863 | 27 |
| Entity Name | Northern Anesthesia Providers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396834628 PECOS PAC ID: 4789579863 Enrollment ID: O20060405000243 |
| Entity Name | Northwestern Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215106679 PECOS PAC ID: 4486723657 Enrollment ID: O20080514000823 |
| Entity Name | Detroit Anesthesia Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316212988 PECOS PAC ID: 3173789088 Enrollment ID: O20120723000043 |
| Entity Name | Novi Aas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598176919 PECOS PAC ID: 1557587847 Enrollment ID: O20140722002052 |
| Entity Name | Apollo Medical Group Of Traverse City Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467093153 PECOS PAC ID: 8123452331 Enrollment ID: O20191221000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Bonifer, MD 4188 Lakeshore Rd, Boyne City, MI 49712-9676 Ph: () - | Thomas Bonifer, MD 2006 Hogback Rd, Suite 5a, Ann Arbor, MI 48105-9750 Ph: (734) 786-4940 |
Paul Derek Fernandes, BM Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280 | |
Thomas F Curran, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2215 Fuller Rd, Ann Arbor, MI 48105 Phone: 734-845-5342 | |
Meghan Horn, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Drive, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280 | |
Youssef Daklallah, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 313-525-1834 | |
Austin Michael Foote, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4280 | |
Andrew James Baldock, BM Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280 | |
Monn Y Lee, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280 |