Andrew O Bonavita, DMD in Longmeadow, MA - Medicare Dentist Provider

Andrew O Bonavita, DMD is a medicare enrolled "Dentist - General Practice" provider in Longmeadow, Massachusetts. His current practice location is 123 Dwight Rd, Longmeadow, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 567-7735.

Andrew O Bonavita is licensed to practice in Massachusetts (license number 17903) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790890705.

Contact Information

	Andrew O Bonavita, DMD
	123 Dwight Rd, Longmeadow, MA 01106-1748
	(413) 567-7735
	(413) 565-2579

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew O Bonavita
Gender	Male
Speciality	Dentist - General Practice
Location	123 Dwight Rd, Longmeadow, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790890705
Provider Enumeration Date: 08/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1850689134
Enrollment ID: I20161019003085

Medical Identifiers

Medical identifiers for Andrew O Bonavita such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790890705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	17903 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrew O Bonavita allows following entities to bill medicare on his behalf.

Entity Name	Andrew Bonavita D.m.d.,p.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780841213 PECOS PAC ID: 0941598221 Enrollment ID: O20161019002891

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. Andrew O Bonavita is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Andrew O Bonavita, DMD 123 Dwight Rd, Longmeadow, MA 01106-1748 Ph: (413) 567-7735	Andrew O Bonavita, DMD 123 Dwight Rd, Longmeadow, MA 01106-1748 Ph: (413) 567-7735

Reviews and Comments

Dentist in Longmeadow, MA

Dr. Maurice Dullea, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 123 Dwight Rd, Longmeadow, MA 01106 Phone: 413-567-1221 Fax: 413-567-1245
Dr. Chris Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 123 Dwight Rd, Longmeadow, MA 01106 Phone: 413-567-1221 Fax: 413-567-1245
Dr. Steven A Wolman, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 292 Pinewood Dr, Longmeadow, MA 01106 Phone: 413-567-6011
Thuy T Nguyen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 813 Williams St, Suite 210, Longmeadow, MA 01106 Phone: 413-567-6202
Dr. Robert H Rappaport, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 666 Bliss Road, Longmeadow, MA 01106 Phone: 413-567-8180 Fax: 413-567-8810
Dr. Derrick F Ziemba, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Dwight Rd, Suite 200, Longmeadow, MA 01106 Phone: 413-567-4227 Fax: 413-567-6976
Dr. Kaitlin Elizabeth Martin Bancroft, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 38 Oxford Rd, Longmeadow, MA 01106 Phone: 413-374-4566

Andrew O Bonavita, DMD - Medicare Dentist in Longmeadow, MA