| Dr Melissa Bonasera, MD | |
|
33 Imperial Ave, Westport, CT 06880-4303 | |
| (203) 682-0907 | |
| (203) 682-0258 |
| Full Name | Dr Melissa Bonasera |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 33 Imperial Ave, Westport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669657086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 045981 (Connecticut) | Primary |
| Entity Name | St. Vincent's Multispecialty Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa Bonasera, MD Po Box 756, Hawleyville, CT 06440-0756 Ph: (203) 682-0907 | Dr Melissa Bonasera, MD 33 Imperial Ave, Westport, CT 06880-4303 Ph: (203) 682-0907 |
Kay L Cowan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19 Compo Rd S, Westport, CT 06880 Phone: 203-454-1520 | |
Snieguole Radzeviciene, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 47 Long Lots Rd, Westport, CT 06880 Phone: 203-227-1251 | |
Dr. Cornelia Lucia Gallo, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19 Compo Rd S, Westport, CT 06880 Phone: 203-226-3134 Fax: 203-259-4916 | |
Laila Imad Knio, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 47 Long Lots Rd, Westport, CT 06880 Phone: 203-227-1251 Fax: 203-226-8616 | |
Mr. Charles John Kallick, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12 Crooked Mile Rd, Westport, CT 06880 Phone: 203-226-3685 | |
Dr. Joseph Abel Russo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 177 Post Rd W, 2nd Floor, Westport, CT 06880 Phone: 203-227-9902 | |
Dr. Dennis D'arcy Banks, MD, JD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 225 North Main St., Westport, CT 06880 Phone: 203-520-3238 Fax: 631-907-4412 |