Kristen G Bonavilla, CNM is a
Midwife based in Amherst, New York. Kristen G Bonavilla is licensed to practice in New York (license number 001205-1) and her current practice location is
24 Flickinger Ct, Amherst, New York. She can be reached at her office (for appointments etc.) via phone at
(610) 428-5286.
NPI number for Kristen G Bonavilla is 1497701155 and her current mailing address is 24 Flickinger Ct, Amherst, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497701155.
Provider's Profile
Full Name | Kristen G Bonavilla |
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Gender | Female |
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Speciality | Midwife |
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Location | 24 Flickinger Ct, Amherst, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497701155
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kristen G Bonavilla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497701155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WX0002X | Registered Nurse - Obstetric, High-risk | 558493-1 (New York) | Primary |
176B00000X | Midwife | 001205-1 (New York) | 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. Kristen G Bonavilla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristen G Bonavilla, CNM 24 Flickinger Ct, Amherst, NY 14228-3395 Ph: (610) 428-5286 | Kristen G Bonavilla, CNM 24 Flickinger Ct, Amherst, NY 14228-3393 Ph: (610) 428-5286 |
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