| Bonnie Stamatis, Md Inc | |
|
5077 Waterford Dr Ste 305 Sheffield Village OH 44035-0705 | |
| (440) 365-4800 | |
| Not Available |
| Full Name | Bonnie Stamatis, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5077 Waterford Dr Ste 305, Sheffield Village, Ohio |
| Authorized Official Name and Position | Bonnie Stamatis (PRESIDENT) |
| Authorized Official Contact | 4403654800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Stamatis, Md Inc 860 E Broad St Elyria OH 44035-6542 Ph: (440) 365-4800 | Bonnie Stamatis, Md Inc 5077 Waterford Dr Ste 305 Sheffield Village OH 44035-0705 Ph: (440) 365-4800 |
| NPI Number | 1164576286 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 2769669332 |
|---|---|
| Medicare Enrollment ID | O20110608000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164576286 | NPI | - | NPPES |
| 0908281 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35064311 (Ohio) | Primary |
| Provider Name | Bonnie V Stamatis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982677399 PECOS PAC ID: 9931386513 Enrollment ID: I20110608000109 |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5445 Detroit Rd, Sheffield Village, OH 44054 Phone: 440-653-8033 | |
Westshore Primary Care Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5343 Meadow Lane Ct, Sheffield Village, OH 44035 Phone: 440-934-0276 Fax: 440-934-6947 |