| Ryan James Bonham, CRNA | |
|
695 N Kellogg St, Galesburg, IL 61401-2807 | |
| (309) 343-8131 | |
| Not Available |
| Full Name | Ryan James Bonham |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 695 N Kellogg St, Galesburg, Illinois |
| 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 |
|---|---|---|---|
| 1225414667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209012691 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Anesthesiologists Sc | 6305744129 | 119 |
| Entity Name | Associated Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
| Entity Name | St Mary Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982668851 PECOS PAC ID: 8628038015 Enrollment ID: O20050407000802 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Clinical Colleagues Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316399967 PECOS PAC ID: 8729011333 Enrollment ID: O20161006000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan James Bonham, CRNA 508 N Missouri Ave, Morton, IL 61550-1711 Ph: (309) 657-3758 | Ryan James Bonham, CRNA 695 N Kellogg St, Galesburg, IL 61401-2807 Ph: (309) 343-8131 |
Patricia M Wilson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Ann Weik, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Timothy F Sullivan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-434-8131 | |
Mr. Nicholas Becker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Jill D Whiteside, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Sterlon A. Matheny, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9430 |