Dr Anthony Charles Bonfiglio, MD is a
Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Fort Moore, Georgia. Dr Anthony Charles Bonfiglio is licensed to practice in Hawaii (license number MD14870) and his current practice location is 6600 Van Aalst Blvd, Fort Moore, Georgia. He can be reached at his office (for appointments etc.) via phone at
(762) 408-0429.
NPI number for Dr Anthony Charles Bonfiglio is 1821170465 and his current mailing address is 6600 Van Aalst Blvd, Fort Moore, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821170465.
Physician's Profile
| Full Name | Dr Anthony Charles Bonfiglio |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 6600 Van Aalst Blvd, Fort Moore, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821170465
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 12/05/2023
Medical Identifiers
Medical identifiers for Dr Anthony Charles Bonfiglio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821170465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD-14870 (Hawaii) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD14870 (Hawaii) | 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. Dr Anthony Charles Bonfiglio 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 |
|---|
Dr Anthony Charles Bonfiglio, MD
6600 Van Aalst Blvd,
Fort Moore, GA 31905-2102
Ph: (762) 408-0429 | Dr Anthony Charles Bonfiglio, MD
6600 Van Aalst Blvd,
Fort Moore, GA 31905-2102
Ph: (762) 408-0429 |
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