Dr Daniel Charles Bonanno, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Dracut, Massachusetts. His current practice location is
1595 Bridge St, Dracut, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 735-4479.
Dr Daniel Charles Bonanno is licensed to practice in Massachusetts (license number 27062) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912782004.
Physician's Profile
Full Name | Dr Daniel Charles Bonanno |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 1595 Bridge St, Dracut, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912782004
- Provider Enumeration Date: 08/28/2023
- Last Update Date: 08/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426499690
- Enrollment ID: I20240520000379
Medical Identifiers
Medical identifiers for Dr Daniel Charles Bonanno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912782004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 27062 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Daniel Charles Bonanno allows following entities to bill medicare on his behalf.
Entity Name | Scaccia Physical Therapy & Sports Conditioning, Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1174796056 PECOS PAC ID: 9133282312 Enrollment ID: O20091109000335 |
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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. Dr Daniel Charles Bonanno 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 |
Dr Daniel Charles Bonanno, DPT 1595 Bridge St, Dracut, MA 01826-2696 Ph: (978) 735-4490 | Dr Daniel Charles Bonanno, DPT 1595 Bridge St, Dracut, MA 01826-2696 Ph: (978) 735-4479 |
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