Bonnie J Bartos, PA-C
Individual provider Active NPI Medical Physician Assistant · Wadena, MN
NPI 1003863176 · NPPES record last updated Oct 17, 2016
Key facts
- NPI
- 1003863176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 9126 (MN)
- Practice address
- 415 Jefferson St North
Tri-County Health Care
Wadena, MN 56482-1296 - Phone
- (218) 631-3510
- Fax
- (218) 631-7507
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9126 | MN | Yes |
Addresses
Primary practice location
415 Jefferson St North
Tri-County Health Care
Wadena, MN 56482-1296
Mailing address
415 Jefferson St North
Tri-County Hospital
Wadena, MN 56482-1296
Phone (218) 631-3510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199583900 | Medicaid | MN |
Other providers in Wadena, MN
- Astera Health
- Astera Health
- Astera Health
- Astera Health
- Nicole Rae Barnett
- Myriah Becker
- Krystal Bedell
- Bell Hill Recovery Center
- Bailey Emma Benson
- Nancy Ann Bern
All providers in Wadena, MN · Medical Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.