| Mr Ronald August Bonaventura Jr, | |
|
22432 Harper Lake Ave, Saint Clair Shores, MI 48080-4041 | |
| (586) 557-8398 | |
| Not Available |
| Full Name | Mr Ronald August Bonaventura Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 22432 Harper Lake Ave, Saint Clair Shores, Michigan |
| 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 |
|---|---|---|---|
| 1063880573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704286546 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Macomb Oakland Hospital | 7315859725 | 127 |
| Entity Name | Ascension Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047 |
| Entity Name | Ascension Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578696092 PECOS PAC ID: 7315859725 Enrollment ID: O20041102000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ronald August Bonaventura Jr, 22432 Harper Lake Ave, Saint Clair Shores, MI 48080-4041 Ph: () - | Mr Ronald August Bonaventura Jr, 22432 Harper Lake Ave, Saint Clair Shores, MI 48080-4041 Ph: (586) 557-8398 |
Carrie L Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 Phone: 586-771-4820 Fax: 586-771-6620 | |
Jennifer Kulinski, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24800 Ursuline St, Saint Clair Shores, MI 48080 Phone: 586-945-5088 | |
Mrs. Ayesha Massey Bennett, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656 | |
Meghan Martinovski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Little Mack Ave, Saint Clair Shores, MI 48081 Phone: 586-884-5656 | |
Patricia West, PHD, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24911 Little Mack Ave, Suite C, Saint Clair Shores, MI 48080 Phone: 586-447-9070 | |
Joanna Catherine Scheunemann, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22500 Raymond St, Saint Clair Shores, MI 48082 Phone: 586-244-8825 |