| Jason Bonfiglio, PA | |
|
800 Riverside Dr, Waupaca, WI 54981-1943 | |
| (715) 258-1000 | |
| Not Available |
| Full Name | Jason Bonfiglio |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 800 Riverside Dr, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134726433 | NPI | - | NPPES |
| 100135023 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Bonfiglio, PA 405 Bishops Way Unit 629, Brookfield, WI 53005-6261 Ph: (414) 588-3405 | Jason Bonfiglio, PA 800 Riverside Dr, Waupaca, WI 54981-1943 Ph: (715) 258-1000 |
Gabrielle Ann Patri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 |
Aaron D. Reineking, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1300 |
Michelle R Oetken, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3062 |
Katherine Margaret Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3039 |
Kara J. Enerson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3079 |
Trisha Ann Everson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 920-380-4999 Fax: 920-380-4961 |
Blair M Rathjen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3019 |