| Mr Joseph B Bonomini, PA-C | |
|
605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 | |
| (859) 301-2663 | |
| (859) 817-7857 |
| Full Name | Mr Joseph B Bonomini |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 605 Wilson Creek Rd, Lawrenceburg, Indiana |
| 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 |
|---|---|---|---|
| 1225439698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001721A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Dearborn Hospital | Lawrenceburg, IN | Hospital |
| St Elizabeth Medical Center North | Edgewood, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthocincy Orthopaedics And Sports Medicine Psc | 3173500196 | 163 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20040403000151 |
| Entity Name | Orthocincy Orthopaedics & Sports Medicine PSC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598714560 PECOS PAC ID: 3173500196 Enrollment ID: O20190116003822 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joseph B Bonomini, PA-C 560 S Loop Rd, Edgewood, KY 41017-3405 Ph: Not Available | Mr Joseph B Bonomini, PA-C 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 Ph: (859) 301-2663 |
Alexah Anne Harves, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 98 Elm St, Lawrenceburg, IN 47025 Phone: 812-496-8775 Fax: 812-537-5710 |
Whitney Cooley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 102 Industrial Dr, Lawrenceburg, IN 47025 Phone: 812-584-0817 |