Theresa M Bonanomi, is a medicare enrolled "Social Worker - Clinical" provider in New London, Connecticut. Her current practice location is
365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 444-5141.
Theresa M Bonanomi is licensed to practice in Connecticut (license number 012927) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003365222.
Healthcare Provider's Profile
Full Name | Theresa M Bonanomi |
---|
Gender | Female |
---|
Speciality | |
---|
Experience | Years |
---|
Location | 365 Montauk Ave, New London, Connecticut |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Theresa M Bonanomi attended and graduated from in
NPI Data:
- NPI Number: 1003365222
- Provider Enumeration Date: 09/29/2016
- Last Update Date: 05/16/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Theresa M Bonanomi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003365222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | L10625 (Oregon) | Secondary |
372600000X | Adult Companion | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 012927 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa M Bonanomi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theresa M Bonanomi, 365 Montauk Ave, New London, CT 06320-4769 Ph: (860) 444-5141 | Theresa M Bonanomi, 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 444-5141 |
Reviews and Comments