JOHN P BONAVIA (MD) – Family Medicine Physician, NPI 1497716880
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Doctor Profile
Profile Insights
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Provider Addresses for JOHN P BONAVIA (MD)
Columbia College of Nursing, 4425, North Port Washington Road, Grover Heights, Glendale, Milwaukee County, Wisconsin, 53212, United States
ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE, WI 532121082
Phone: (414) 961-2750
Type: Mailing
1317, West Grand Avenue, Hidden Hills, Port Washington, Ozaukee County, Wisconsin, 53074, United States
PORT WASHINGTON, WI 530742075
Phone: (262) 268-6998
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53212)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 11 | 11 |
Group practice members
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| Diagnostic Radiology | WI | |
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