Jack E Bonham, PA
Jack E Bonham, PA is a Physician Assistant in Beech Grove, Indiana. Qualified in 2010, 16 years ago. Practices with Recover Together Inc, a 143-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.
- Years since qualifying
- 16
- Licensed in
- IN
- In the registry since
- 2010
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1600 Albany StBeech Grove, IN 46107-1541
Phone: (317) 802-3151
Fax: (317) 870-0499
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1500 N Ritter Ave Ste 500, Indianapolis, IN 46219-3027 — (317) 355-5457
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10001193A (IN) |
|---|
Record details
| NPI number | 1396058608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 16, 2010 |
| Last updated in NPPES | June 25, 2021 |
| Certification date | June 25, 2021 |
| Mailing address | Po Box 7112, Dpt 31, Indianapolis, IN 46207-7112 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Recover Together Inc — 143 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 13 on file with Medicare |
Other providers in Beech Grove
-
Alexandra Smith, PA-C
2030 Churchman Ave, Beech Grove, IN 46107-1044 · (317) 786-9285