Kathleen R Bonaventura, APRN | |
1305 Post Rd, Fairfield, CT 06824-6016 | |
(203) 292-2000 | |
(203) 255-5212 |
Full Name | Kathleen R Bonaventura |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 1305 Post Rd, Fairfield, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821062175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 002078 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bridgeport Hospital | Bridgeport, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Medical Group Inc | 1254233836 | 1244 |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
---|---|
Kathleen R Bonaventura, APRN 103 Thoreau Dr, Shelton, CT 06484-1638 Ph: (203) 292-2000 | Kathleen R Bonaventura, APRN 1305 Post Rd, Fairfield, CT 06824-6016 Ph: (203) 292-2000 |
Judith Karen Adelstein, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 189 Veres St, Fairfield, CT 06824 Phone: 203-464-7493 | |
Ms. Anne Madeleine Hyde, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Katona Dr Ste 25a, Fairfield, CT 06824 Phone: 203-502-1404 Fax: 203-502-1404 | |
Aneta Rafalo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 313 Figlar Ave, Fairfield, CT 06824 Phone: 203-856-9706 | |
Dr. Lisa Marie Burton, PHD,ARNP, PMHCNS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Elvira Ln, Fairfield, CT 06824 Phone: 786-300-5776 | |
Elizabeth T Kamlani, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 Winnepoge Dr, Fairfield, CT 06825 Phone: 203-763-9452 | |
Rebecca Tvardzik, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Post Rd, 102, Fairfield, CT 06824 Phone: 203-254-2046 | |
Katherine Kendall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Unquowa Pl, Fairfield, CT 06824 Phone: 203-452-8322 |