Dr Marianne Bonanno, MD in Providence, RI

Dr Marianne Bonanno, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Providence, Rhode Island. Her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-7770.

Dr Marianne Bonanno is licensed to practice in Rhode Island (license number LP05901) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245974914.

Contact Information

	Dr Marianne Bonanno, MD
	593 Eddy St, Providence, RI 02903-4923
	(401) 444-7770
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Marianne Bonanno
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	593 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245974914
Provider Enumeration Date: 04/27/2022
Last Update Date: 07/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6002291010
Enrollment ID: I20220912002080

Medical Identifiers

Medical identifiers for Dr Marianne Bonanno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245974914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	RTL22-0115 (North Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	LP05901 (Rhode Island)	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. Dr Marianne 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 Marianne Bonanno, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-7770	Dr Marianne Bonanno, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-7770

Reviews and Comments

Radiology Doctors in Providence, RI

Lars Stangenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307
Kara Lynne Leonard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903 Phone: 401-444-8311 Fax: 401-444-5335
Michael Low Cardenas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 N Main St, Providence, RI 02904 Phone: 774-279-0884
Earle O Assanah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174
Glenn A Tung, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000
Sarah-kim Shields, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Radiology, Providence, RI 02903 Phone: 401-444-2133 Fax: 401-444-5017
Sean O'neill, MD Radiology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5127 Fax: 401-444-3056

Dr Marianne Bonanno, MD - Medicare Radiology in Providence, RI