| Mr Stephen Joseph Bonanni Jr, PA | |
|
508 N Main St Ste A, Hinesville, GA 31313-2570 | |
| (912) 785-2100 | |
| (912) 368-3868 |
| Full Name | Mr Stephen Joseph Bonanni Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 508 N Main St Ste A, Hinesville, Georgia |
| 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 |
|---|---|---|---|
| 1760812895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12279 (Georgia) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 454 |
| Horizon Behavioral Health, P.c. | 6204016611 | 11 |
| Entity Name | Horizon Behavioral Health, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891003299 PECOS PAC ID: 6204016611 Enrollment ID: O20110202000118 |
| Entity Name | Privia Medical Group of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen Joseph Bonanni Jr, PA 508 N Main St Ste A, Hinesville, GA 31313-2570 Ph: (912) 785-2100 | Mr Stephen Joseph Bonanni Jr, PA 508 N Main St Ste A, Hinesville, GA 31313-2570 Ph: (912) 785-2100 |
Tessa Sprague, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 512 S Main St Ste A, Hinesville, GA 31313 Phone: 912-369-5437 |
Mr. Richard Eugene Gieck, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 604 W Oglethorpe Hwy, Hinesville, GA 31313 Phone: 912-910-3777 Fax: 912-292-0005 |
Christi G Gibson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 E Oglethorpe Hwy, Hinesville, GA 31313 Phone: 912-369-7546 Fax: 478-274-8418 |
Natalie Schoeffler, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 109 W Oglethrope Hwy, Hinesville, GA 31313 Phone: 912-368-2290 |
Mrs. Kelly O'keefe-watson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 512 S Main St, Hinesville, GA 31313 Phone: 912-369-5437 |
Rocksan Moss, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 508 N Main St, Hinesville, GA 31313 Phone: 801-773-8644 Fax: 844-848-5854 |
Paige Alexandra Yeomans, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 462 Elma G Miles Pkwy, Hinesville, GA 31313 Phone: 912-369-9400 |