Julie Tessler Bonamo, OTR/L, CHT | |
3635 S Clyde Morris Blvd, St. 300, Port Orange, FL 32129-2300 | |
(386) 258-8080 | |
(386) 258-8177 |
Full Name | Julie Tessler Bonamo |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 30 Years |
Location | 3635 S Clyde Morris Blvd, Port Orange, Florida |
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 |
---|---|---|---|
1699789925 | NPI | - | NPPES |
892520800 | Medicaid | FL | |
Z7064 | Other | FL | BLUE CROSS BLUE SHIELD FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT5228 (Florida) | Primary |
225XH1200X | Occupational Therapist - Hand | OT5228 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Daytona Beach Hand Clinic, Inc | 9032148499 | 2 |
Provider Name | Daytona Beach Hand Clinic, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952420457 PECOS PAC ID: 9032148499 Enrollment ID: O20050806000061 |
Mailing Address | Practice Location Address |
---|---|
Julie Tessler Bonamo, OTR/L, CHT 3635 S Clyde Morris Blvd, St. 300, Port Orange, FL 32129-2300 Ph: (386) 258-8080 | Julie Tessler Bonamo, OTR/L, CHT 3635 S Clyde Morris Blvd, St. 300, Port Orange, FL 32129-2300 Ph: (386) 258-8080 |
Tonika Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Stacy Wojy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Elizabeth Horrall, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Joshua Ruiz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 800-330-7711 | |
Emily Noltemeyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Heidi Meramo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680 | |
Gina Sentelik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-756-4395 |