| Adam Elbert Bonner, PA | |
|
2101 16th St, Greeley, CO 80631-5116 | |
| (720) 390-0442 | |
| Not Available |
| Full Name | Adam Elbert Bonner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2101 16th St, Greeley, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619218724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0004117 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | 0110007090 (Virginia) | Primary |
| Entity Name | Ingleside Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144712662 PECOS PAC ID: 1355698317 Enrollment ID: O20180720002968 |
| Entity Name | Lake Spring Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
| Entity Name | Wildwood Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013409721 PECOS PAC ID: 4789932385 Enrollment ID: O20180730001151 |
| Entity Name | Kingsford Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336631480 PECOS PAC ID: 3870841117 Enrollment ID: O20180802003435 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Elbert Bonner, PA 1851 Lochmore Dr, Longmont, CO 80504-2364 Ph: Not Available | Adam Elbert Bonner, PA 2101 16th St, Greeley, CO 80631-5116 Ph: (720) 390-0442 |
Vanessa G Wittstruck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2429 35th Ave, Greeley, CO 80634 Phone: 303-338-4545 |
Ms. Kathryn Milizio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2438 Fax: 970-350-2473 |
Mr. Daniel Anthony Veronie, MS, PA-C, ATC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5890 W 13th St, Suite 101, Greeley, CO 80634 Phone: 970-348-0020 Fax: 970-348-0044 |
Rachel Elizabeth Palaski, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 6767 29th St Fl 2, Greeley, CO 80634 Phone: 970-652-2426 Fax: 970-652-2478 |
Amber Ciarvella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 15th St, Suite 300, Greeley, CO 80631 Phone: 970-378-4431 |
Chelsey Darnall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-4121 |
Lauren Conner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1010 A St, Greeley, CO 80631 Phone: 970-313-0400 |