Bonnie M Gelly (NPI# 1316148364, PAC ID# 6103917695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1316148364 |
| PAC ID by PECOS | 6103917695 |
| Professional Enrollment ID | I20070813000747 |
| Full Name | Bonnie M Gelly |
| Organization Legal Name | SOUTHERN OBSTETRIC AND GYNECO ASSOCIATES |
| Address |
9447 Holy Cross Ln Breese IL 62230-3510 |
| Phone Number | 6185262209 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7315902509 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140145 | ST JOSEPHS HOSPITAL |
| 141336 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9447 Holy Cross Ln, Breese, IL 62230-3510 | 6185262209 | SOUTHERN OBSTETRIC AND GYNECO ASSOCIATES |
| Organization Legal Name | SOUTHERN OBSTETRIC AND GYNECO ASSOCIATES |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy J Taylor | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
| Penny S Gozia | Obstetrics/gynecology | Southern Obstetric and Gyneco Associates | 9447 Holy Cross Ln, Breese, IL 62230-3510 |
| Megan Lynn Schniers | Certified Nurse Midwife (cnm) | Southern Obstetric and Gyneco Associates | 9447 Holy Cross Ln, Breese, IL 62230-3510 |
| Breck D Kramper | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
| Tasha M Meyer | Certified Nurse Midwife (cnm) | Southern Obstetric and Gyneco Associates | 9447 Holy Cross Ln, Breese, IL 62230-3510 |
| Ann E Doll-pollard | Obstetrics/gynecology | Southern Obstetric and Gyneco Associates | 9447 Holy Cross Ln, Breese, IL 62230-3510 |
| Street Address |
9447 HOLY CROSS LN |
| City | BREESE |
| State | IL |
| Zip | 62230-3510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny S Gozia | Obstetrics/gynecology | Southern Obstetric and Gyneco Associates | 9447 Holy Cross Ln, Breese, IL 62230-3510 |
| Megan Lynn Schniers | Certified Nurse Midwife (cnm) | Southern Obstetric and Gyneco Associates | 9447 Holy Cross Ln, Breese, IL 62230-3510 |
| Tasha M Meyer | Certified Nurse Midwife (cnm) | Southern Obstetric and Gyneco Associates | 9447 Holy Cross Ln, Breese, IL 62230-3510 |
| Ann E Doll-pollard | Obstetrics/gynecology | Southern Obstetric and Gyneco Associates | 9447 Holy Cross Ln, Breese, IL 62230-3510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Marie Pitt | Registered Dietitian Or Nutrition Professional | 370 N 11th St, Breese, IL 62230-1013 | |
| Ryan Lampe | Physical Therapy | Apex Physical Therapy LLC | 538 Mason Dr, Breese, IL 62230-1115 |
| Justin Mathews | Physical Therapy | Apex Physical Therapy LLC | 538 Mason Dr, Breese, IL 62230-1115 |
| Sarah J Ruff | Physical Therapy | Apex Physical Therapy LLC | 538 Mason Dr, Breese, IL 62230-1115 |
| Daniel A Wolf | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Kathleen M Rivera-kunz | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Kim Peek | Clinical Social Worker | Solutions 4 Wellness Inc | 231 N Main St, Breese, IL 62230-1522 |
| Christina R Diesen | Clinical Social Worker | Solutions 4 Wellness Inc | 231 N Main St, Breese, IL 62230-1522 |
| Travis Allen Isaak | Chiropractic | Revermann Chiropractic P.C. | 397 N Plum St, Breese, IL 62230-1528 |
| Craig A Revermann | Chiropractic | Revermann Chiropractic P.C. | 397 N Plum St, Breese, IL 62230-1528 |
| Find all physicians in zip 62230 | |||
| City | BREESE |
| Zip Code | 62230 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BREESE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Bonnie M Gelly.
| 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.