| Mr Edward C Bonk, CRNA | |
|
1201 Nott St, Suite 106, Schenectady, NY 12308-2589 | |
| (518) 374-3123 | |
| (518) 374-9711 |
| Full Name | Mr Edward C Bonk |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1201 Nott St, Schenectady, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649270893 | NPI | - | NPPES |
| 9691728 | Other | GHI | |
| R6B57 | Other | EMPIRE BLUE CROSS | |
| X00000 | Other | AMERICAN PROGRESSIVE TODA | |
| 4123054 | Other | MVP | |
| 33588Y | Other | FIDELIS MEDICARE | |
| 000494072001 | Other | BLUE SHIELD OF NENY | |
| 10002421 | Other | CDPHP | |
| 403605-1 | Other | TRICARE NORTH REGION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 403605-1 (New York) | Primary |
| Entity Name | New England Laser And Cosmetic Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1053303826 PECOS PAC ID: 9931095379 Enrollment ID: O20040224000449 |
| Entity Name | Schenectady Anesthesia Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457352411 PECOS PAC ID: 5294628087 Enrollment ID: O20040225000178 |
| Entity Name | Premier Anesthesia Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063658961 PECOS PAC ID: 7719041102 Enrollment ID: O20090129000560 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edward C Bonk, CRNA 1201 Nott St, Suite 106, Schenectady, NY 12308-2589 Ph: (518) 374-3123 | Mr Edward C Bonk, CRNA 1201 Nott St, Suite 106, Schenectady, NY 12308-2589 Ph: (518) 374-3123 |
Ms. Irene Roman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 | |
Ms. Barbara A Elliott Capogna, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 | |
Danielle Redmond, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 | |
Cody Wheeler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 Nott St, Schenectady, NY 12308 Phone: 518-243-4000 | |
Kellie Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 | |
Shirley Chan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott St, Schenectady, NY 12308 Phone: 518-374-3123 | |
Mrs. Molly Popolizio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott St Ste 106, Schenectady, NY 12308 Phone: 518-374-3123 |