Michael Chester Buonomo, MA is a
Psychologist based in Narvon, Pennsylvania. Michael Chester Buonomo is licensed to practice in Pennsylvania (license number PS-005959-L) and his current practice location is
5781 Glen Oaks Dr, Narvon, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(717) 768-4603.
NPI number for Michael Chester Buonomo is 1992705917 and his current mailing address is 5781 Glen Oaks Dr, Narvon, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992705917.
Healthcare Provider's Profile
| Full Name | Michael Chester Buonomo |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 5781 Glen Oaks Dr, Narvon, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992705917
- Provider Enumeration Date: 08/01/2005
- Last Update Date: 11/23/2007
Medical Identifiers
Medical identifiers for Michael Chester Buonomo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992705917 | NPI | - | NPPES |
| 335793 | Other | PA | MHN |
| BU76559 | Other | PA | HIGHMARK BS |
| 0007133457 | Other | PA | AETNA |
| 1000037020001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PS-005959-L (Pennsylvania) | Secondary |
| 101Y00000X | Counselor | PS-005959-L (Pennsylvania) | Secondary |
| 101YM0800X | Counselor - Mental Health | PS-005959-L (Pennsylvania) | Secondary |
| 101YP1600X | Counselor - Pastoral | PS005959-L (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PS-005959-L (Pennsylvania) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PS-005959-L (Pennsylvania) | Secondary |
| 103TC1900X | Psychologist - Counseling | PS-005959-L (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | PS-005959-L (Pennsylvania) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS-005959-L (Pennsylvania) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PS-005959-L (Pennsylvania) | Secondary |
| 305R00000X | Preferred Provider Organization | PS-005959-L (Pennsylvania) | Secondary |
| 302R00000X | Health Maintenance Organization | PS-005959-L (Pennsylvania) | Secondary |
| 305S00000X | Point Of Service | PS-005959-L (Pennsylvania) | Secondary |
| 302F00000X | Exclusive Provider Organization | PS-005959-L (Pennsylvania) | Secondary |
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. Michael Chester Buonomo 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 |
|---|
Michael Chester Buonomo, MA
5781 Glen Oaks Dr,
Narvon, PA 17555-9450
Ph: (717) 768-4603 | Michael Chester Buonomo, MA
5781 Glen Oaks Dr,
Narvon, PA 17555-9450
Ph: (717) 768-4603 |
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