Megan Bonaventura, is a
Psychologist - School based in Broadway, Virginia. Megan Bonaventura is licensed to practice in Virginia (license number PPS-0603571) and her current practice location is
512 Birdsong Ln, Broadway, Virginia. She can be reached at her office (for appointments etc.) via phone at
(315) 447-6244.
NPI number for Megan Bonaventura is 1104585173 and her current mailing address is 512 Birdsong Ln, Broadway, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104585173.
Healthcare Provider's Profile
Full Name | Megan Bonaventura |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 512 Birdsong Ln, Broadway, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104585173
- Provider Enumeration Date: 12/16/2021
- Last Update Date: 12/16/2021
Medical Identifiers
Medical identifiers for Megan Bonaventura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104585173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | PPS-0603571 (Virginia) | 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. Megan Bonaventura 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 |
Megan Bonaventura, 512 Birdsong Ln, Broadway, VA 22815-3637 Ph: (315) 447-6244 | Megan Bonaventura, 512 Birdsong Ln, Broadway, VA 22815-3637 Ph: (315) 447-6244 |
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