| Mr Brian Keith Bonomo, PAC | |
|
525 N Dacie Pt, Lecanto, FL 34461-8399 | |
| (352) 746-2200 | |
| (352) 746-9320 |
| Full Name | Mr Brian Keith Bonomo |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 525 N Dacie Pt, Lecanto, Florida |
| 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 |
|---|---|---|---|
| 1124012596 | NPI | - | NPPES |
| 970015048 | Other | FL | SRRGA |
| 290989800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9101264 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian Keith Bonomo, PAC 4651 Van Dyke Rd, Lutz, FL 33558-4880 Ph: (813) 321-1786 | Mr Brian Keith Bonomo, PAC 525 N Dacie Pt, Lecanto, FL 34461-8399 Ph: (352) 746-2200 |
Melanie Davies, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 | |
Kendel Vickers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 Fax: 352-746-6907 | |
Tricia Vu Tran, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 813-321-1786 Fax: 813-321-1787 | |
Stephen James Smenkowski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2793 N Brentwood Cir, Lecanto, FL 34461 Phone: 302-299-8268 | |
Shelby Miller Jenkins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 Fax: 352-746-6907 | |
Matthew Witt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 |