| Bona Vita Wellness And Psychiatric Center | |
|
117b River St Milford CT 06460 | |
| (203) 283-3515 | |
| (203) 518-8008 |
| Full Name | Bona Vita Wellness And Psychiatric Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 117b River St, Milford, Connecticut |
| Authorized Official Name and Position | Pavle Joksovic (CEO) |
| Authorized Official Contact | 2032833515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bona Vita Wellness And Psychiatric Center 117b River St Milford CT 06460-3315 Ph: (203) 283-3515 | Bona Vita Wellness And Psychiatric Center 117b River St Milford CT 06460 Ph: (203) 283-3515 |
| NPI Number | 1245631126 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 02/25/2019 |
| Medicare PECOS PAC ID | 9133449796 |
|---|---|
| Medicare Enrollment ID | O20150521001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245631126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 048935 (Connecticut) | Primary |
| Provider Name | Pavle M Joksovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285893313 PECOS PAC ID: 3577746007 Enrollment ID: I20110322000163 |
| Provider Name | Margaret Peggy E Mayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639357130 PECOS PAC ID: 1850363474 Enrollment ID: I20150331000537 |
| Provider Name | Sarah Downey Sessa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780001479 PECOS PAC ID: 7618207986 Enrollment ID: I20190930001810 |
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