MS. MARY M BONOMO P.A.
NPI 1376861690
Physician Assistant - Surgical in Philadelphia, PA
NPI Status: Active since May 11, 2010
Contact Information
5501 OLD YORK RD
KLEIN 510
PHILADELPHIA, PA
ZIP 19141
Phone: (215) 456-6933
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About MARY BONOMO
This page provides the complete NPI Profile along with additional information for Mary Bonomo, a provider established in Philadelphia, Pennsylvania with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1376861690 assigned on May 2010. The practitioner's primary taxonomy code is 363AS0400X with license number MA051566 (PA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1376861690
- Provider Name
- MS. MARY M BONOMO P.A.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5501 OLD YORK RD KLEIN 510 PHILADELPHIA, PA 19141
- Location Phone
- (215) 456-6933
- Mailing Address
- 5501 OLD YORK RD KLEIN 510 PHILADELPHIA, PA 19141
- Mailing Phone
- (215) 456-6933
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-11-2010
- Last Update Date
- 05-11-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- MA051566
- License State
- PA
Medicare Participation & PECOS Enrollment Status
Mary Bonomo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Unknown
Treatment-Treatment - Miscellaneous (RX029N)
Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)
3 DME suppliers used 18 Medicare Claims 3600 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Prednisone, immediate release or delayed release, oral, 1 mg (HCPCS:J7512)
1 DME suppliers used 17 Medicare Claims 3900 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Mycophenolic acid, oral, 180 mg (HCPCS:J7518)
3 DME suppliers used 17 Medicare Claims 1740 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)
4 DME suppliers used 21 Medicare Claims 21 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)
3 DME suppliers used 44 Medicare Claims 46 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 108 times for 12 patientsReviews for MS. MARY M BONOMO P.A.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1376861690, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376861690, enumerated as an "individual" on May 11, 2010.
The provider is located at 5501 OLD YORK RD KLEIN 510 PHILADELPHIA, PA 19141 and the phone number is (215) 456-6933.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.