| Mary T Bonaccorsi, APRN, DNP, FNP | |
|
903 Mineral Point Ave, Janesville, WI 53548-2970 | |
| (608) 756-5555 | |
| (608) 756-0174 |
| Full Name | Mary T Bonaccorsi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 903 Mineral Point Ave, Janesville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811927205 | NPI | - | NPPES |
| 1811927205 | Other | WI | BCBSWI |
| 000054176-K400333954 | Other | WI | WI MEDICARE |
| 000084908-K400332994 | Other | WI | WI MEDICARE |
| 1811927205 | Medicaid | WI | |
| BONACMAR | Other | WI | MERCYCARE INSURANCE |
| 041305302 | Medicaid | IL | |
| 406120105 | Other | PTAN |
| Entity Name | Jefferson County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275614919 PECOS PAC ID: 2264496801 Enrollment ID: O20041115000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary T Bonaccorsi, APRN, DNP, FNP 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 756-5555 | Mary T Bonaccorsi, APRN, DNP, FNP 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 756-5555 |
Dr. Kelly Ann Gardner, APNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5610 N Cty Rd F, Janesville, WI 53545 Phone: 608-469-9169 | |
Benjamin C. Miller, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6508 Fax: 608-741-6962 | |
Jodi Lynn Kurtz, DNP NP-C, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2419 Morse St, Janesville, WI 53545 Phone: 608-758-9300 | |
Erika R Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Deerfield Dr, Janesville, WI 53546 Phone: 608-314-3660 | |
Jennifer Laura Wimmer, APNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6039 Fax: 608-756-6870 | |
Kathryn D Wroblewski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6500 | |
Linda P Brethauer, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6800 |