Dr Bonifasiyo K Ssennyamantono, MD - Medicare Cardiovascular Disease (cardiology) in Avondale, AZ

Dr Bonifasiyo K Ssennyamantono, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Avondale, Arizona. He went to Columbia University College Of Physicians And Surgeons and graduated in 2000 and has 24 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Integrated Medical Services Inc, Sjhmc Physician Services, Summit Healthcare Association, Summit Healthcare Medical Associates and his current practice location is 10815 W Mcdowell Rd, Suite 202, Avondale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 433-0202.

Dr Bonifasiyo K Ssennyamantono is licensed to practice in Arizona (license number 35788) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902813678.

Contact Information

Dr Bonifasiyo K Ssennyamantono, MD
10815 W Mcdowell Rd, Suite 202,
Avondale, AZ 85392-5007
(623) 433-0202
(623) 433-0206



Physician's Profile

Full NameDr Bonifasiyo K Ssennyamantono
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience24 Years
Location10815 W Mcdowell Rd, Avondale, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Bonifasiyo K Ssennyamantono attended and graduated from Columbia University College Of Physicians And Surgeons in 2000
  NPI Data:
  • NPI Number: 1902813678
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 04/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4082611280
  • Enrollment ID: I20061101000157

Medical Identifiers

Medical identifiers for Dr Bonifasiyo K Ssennyamantono such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902813678NPI-NPPES
129134MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 35788 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summit Healthcare Regional Medical CenterShow low, AZHospital
St. Joseph's Hospital And Medical CenterPhoenix, AZHospital
Abrazo West CampusGoodyear, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Medical Services Inc105232840874
Sjhmc Physician Services4486646197533
Summit Healthcare Association377956864780
Summit Healthcare Medical Associates872920573776

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Bonifasiyo K Ssennyamantono allows following entities to bill medicare on his behalf.
Entity NameLa Paz Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083639983
PECOS PAC ID: 1557273356
Enrollment ID: O20031219000694

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Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189

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Entity NameSummit Healthcare Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144209271
PECOS PAC ID: 3779568647
Enrollment ID: O20040623001125

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Entity NameSt. Joseph's Hospital And Medical Center C/o Dignity Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255382412
PECOS PAC ID: 6709863178
Enrollment ID: O20040702000601

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Entity NameIntegrated Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760441141
PECOS PAC ID: 1052328408
Enrollment ID: O20060309000742

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Entity NameHospital Development Of West Phoenix Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013100692
PECOS PAC ID: 4981515764
Enrollment ID: O20080118000329

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Entity NameSummit Healthcare Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467878108
PECOS PAC ID: 8729205737
Enrollment ID: O20140815000931

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bonifasiyo K Ssennyamantono is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bonifasiyo K Ssennyamantono, MD
10815 W Mcdowell Rd, Suite 202,
Avondale, AZ 85392-5007

Ph: (623) 433-0202
Dr Bonifasiyo K Ssennyamantono, MD
10815 W Mcdowell Rd, Suite 202,
Avondale, AZ 85392-5007

Ph: (623) 433-0202

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Read more News

› Verified 4 days ago


Internal Medicine Doctors in Avondale, AZ

Dr. Vikram Kapur, M.D
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10450 W Mcdowell Rd, Suite 101, Avondale, AZ 85392
Phone: 623-935-1000    Fax: 623-935-1022
Arun S. Patil, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10815 W Mcdowell Rd, Suite 202, Avondale, AZ 85392
Phone: 623-433-0202    Fax: 623-433-0204
Dr. Hursh Naik, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10815 W Mcdowell Rd Ste 202, Avondale, AZ 85392
Phone: 623-433-0202    Fax: 623-433-0204
Adhar Seth, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10815 W Mcdowell Rd, Suite 202, Avondale, AZ 85392
Phone: 623-433-0202    Fax: 623-433-0204
Melanie Noel Hernandez, FNP-C
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392
Phone: 623-935-1000    
Dr. Kathleen A Nichols, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 13055 W Mcdowell Rd, Suite E-106, Avondale, AZ 85392
Phone: 623-975-8400    Fax: 623-935-2975
Mr. Devendra V Gulaya, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 10320 W Mcdowell Rd, Bldg N1445, Avondale, AZ 85392
Phone: 623-547-2100    Fax: 623-547-3005

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