Individual ProviderBonita Marie BahreAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address3315 Watt Ave, Sacramento, CA 95821-3600(916) 481-6800PECOS EnrollmentBased on the most recent information from CMS, provider Bonita Marie Bahre does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1396738829Provider TypeIndividualFull NameBahre, Bonita MarieTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date8/30/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address3315 Watt Ave, Sacramento, CA 95821-3600Phone(916) 481-6800Fax(916) 481-1881Mailing LocationMailing AddressPO Box 660910, Sacramento, CA 95866-0910Phone(916) 481-6800Fax(916) 481-1881Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseG47416CaliforniaProvider IdentifiersIDDescriptionIssuerIDGR0028370DescriptionMedicaidIssuerUnlistedCalifornia