Walter M Bonner (NPI# 1700849627, PAC ID# 1759340722) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1700849627 |
| PAC ID by PECOS | 1759340722 |
| Professional Enrollment ID | I20041006000005 |
| Full Name | Walter M Bonner |
| Organization Legal Name | ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. |
| Address |
1189 Tibwin Rd Mc Clellanville SC 29458-9405 |
| Phone Number | 8438873929 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1955 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 1658280334 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 8438873929 | ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi D Miller | Nurse Practitioner | St. James-santee Family Health Center Inc. | 8189 Choppee Rd, Georgetown, SC 29440-6374 |
| Alfred J Daniels | Family Medicine | St. James-santee Family Health Center Inc. | 2020 Highmarket St, Georgetown, SC 29440-2618 |
| Darlene Arnette Fludd | Nurse Practitioner | St. James-santee Family Health Center Inc. | 2482 Powell Rd, Georgetown, SC 29440-8590 |
| Tyler Cole | Nurse Practitioner | St. James-santee Family Health Center Inc. | 1189 Tibwin Rd, Mcclellanville, SC 29458-9501 |
| Street Address |
1189 TIBWIN RD |
| City | MC CLELLANVILLE |
| State | SC |
| Zip | 29458-9405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Cole | Nurse Practitioner | St. James-santee Family Health Center Inc. | 1189 Tibwin Rd, Mcclellanville, SC 29458-9501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Erich | Emergency Medicine | Roper Saint Francis Physicians Network | 631 Venning St, Mc Clellanville, SC 29458-9710 |
| City | MC CLELLANVILLE |
| Zip Code | 29458 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | MC CLELLANVILLE + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Walter M Bonner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.