| Holly Ann Bonner, NP | |
|
325-41 Chestnut Street, Suite 800, Philadelphia, PA 19106 | |
| (551) 295-8223 | |
| Not Available |
| Full Name | Holly Ann Bonner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 325-41 Chestnut Street, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720484181 | NPI | - | NPPES |
| RN242454 | Other | GA | STATE LICENSE NUMBER |
| 003154602A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP025474 (Pennsylvania) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 242454 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Main Line Health Home Care & Hospice - Home Health | Radnor, PA | Home health agency |
| Premier Home Care Inc | Huntingdon valley, PA | Home health agency |
| Effraim Home Care Agency, Llc | Bryn mawr, PA | Home health agency |
| Deer Meadows Home Health And Support Services, Llc | Philadelphia, PA | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ennoble Hc Nj Pc | 0345638185 | 108 |
| Pentahealth, Llc | 9537586672 | 68 |
| Entity Name | Osh - Pa Physicians Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811405533 PECOS PAC ID: 7517213879 Enrollment ID: O20180629000414 |
| Entity Name | Ennoble Hc Nj Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306500764 PECOS PAC ID: 0345638185 Enrollment ID: O20211027000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Ann Bonner, NP 203 Pilgrim Ln, Drexel Hill, PA 19026-4913 Ph: () - | Holly Ann Bonner, NP 325-41 Chestnut Street, Suite 800, Philadelphia, PA 19106 Ph: (551) 295-8223 |
Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454 | |
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032 | |
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891 | |
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957 | |
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340 | |
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700 | |
Ling Fan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304 |