James D Bovienzo, DO | |
2800 Main St, St. Vincent's Medical Center, Bridgeport, CT 06606-4201 | |
(203) 576-5177 | |
Not Available |
Full Name | James D Bovienzo |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 34 Years |
Location | 2800 Main St, Bridgeport, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982641635 | NPI | - | NPPES |
7100050090 | Medicaid | KY | |
000000569669 | Other | KY | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 160395 (Massachusetts) | Primary |
207P00000X | Emergency Medicine | 02816 (Kentucky) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Manatee Memorial Hospital | Bradenton, FL | Hospital |
St Anthony Community Hospital | Warwick, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delaware River Medicine Pllc | 4981034550 | 21 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Entity Name | North Shore Lij Urgent Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
Entity Name | Delaware River Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457987521 PECOS PAC ID: 4981034550 Enrollment ID: O20200422001405 |
Mailing Address | Practice Location Address |
---|---|
James D Bovienzo, DO 100 W 58th St, Apt 6f, New York, NY 10019-2129 Ph: (203) 576-5177 | James D Bovienzo, DO 2800 Main St, St. Vincent's Medical Center, Bridgeport, CT 06606-4201 Ph: (203) 576-5177 |
Dr. Tanya Dhiren Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Dr. Kevin J Sprague Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Emergency Department, Bridgeport, CT 06606 Phone: 203-576-5604 | |
Sally Syaunan Chao, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 Main St, St. Vincent Medical Center, Bridgeport, CT 06606 Phone: 203-576-5177 | |
Kimberly Anne Reade, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Emergency Department, Bridgeport, CT 06606 Phone: 203-576-5604 | |
Dr. Jonathan Maisel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490 | |
Dr. Roland Martin Jermyn Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3256 Fax: 203-384-4037 | |
Jeffrey Henry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3566 |