Kathleen D. Bohnke

M.D. | Pediatrics | Female

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Complete Profile:

Kathleen D. Bohnke basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Kathleen D. Bohnke
Credential :	M.D.
Gender :	Female

Business Address:

Kathleen D. Bohnke address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	11123 Parkview Plaza Dr, Suite 106 Fort Wayne, IN, 46845-1707 United States
Phone Number :	260-672-6550
Fax Number :	260-672-6559

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1801870639
NPI Entity Type :	Individual
First Enrolment Date :	05 Dec, 2005
Last Updated On :	15 Nov, 2022

Medicare Participation:

Kathleen D. Bohnke participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2365525078
Medicare Enrollment ID :	I20080218000521
Primary Specialty :	Pediatric Medicine
Medical School :	Indiana University School Of Medicine
Graduation Year :	1997
Accepts Medicare?	Yes. Kathleen D. Bohnke accepts medicare insurance.

Group Practice Association:

Kathleen D. Bohnke is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kathleen D. Bohnke is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Parkview Health System Inc	2163336967	1108	11123 Parkview Plaza Dr Suite 106 Fort Wayne, IN - 468451707 Ph: 2606726550	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen D. Bohnke are as mentioned. Primary taxonomy code for Kathleen D. Bohnke, M.D. is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	01049000A	IN
208000000X	Pediatrics	Yes	01049000A	IN

Legacy Identifiers:

Other legacy medical identifiers of Kathleen D. Bohnke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
000000200308	Other (non-Medicare)	IN	Anthem
00002092719 02	Other (non-Medicare)		United Healthcare
069860CC	MEDICARE PIN	IN
070830F	MEDICARE PIN	IN
110224064	MEDICARE PIN	IN
12182	Other (non-Medicare)	IN	Physicians Health Plan
200342340	MEDICAID	IN
3937240021	Other (non-Medicare)	IN	Medicare DMEPOS
3937240024	Other (non-Medicare)	IN	Medicare DMEPOS
7762243	Other (non-Medicare)		Aetna
H41947	MEDICARE UPIN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	11109 Parkview Plaza Dr # 117 Fort Wayne, IN, 46845-1701 United States

Business Location:

Patients can refer following map for directions to Kathleen D. Bohnke practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.