Alyssa Bonanno, PA-C in Waltham, MA - Medicare Physician Assistant

Alyssa Bonanno, PA-C is a medicare enrolled "Physician Assistant" in Waltham, Massachusetts. Her current practice location is 71 Border Rd Ste 300, Waltham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 890-2133.

Alyssa Bonanno is licensed to practice in Massachusetts (license number PA101590) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669279105.

Contact Information

	Alyssa Bonanno, PA-C
	71 Border Rd Ste 300, Waltham, MA 02451-1044
	(781) 890-2133
	(781) 890-2177

Map and Direction

Provider's Profile

Full Name	Alyssa Bonanno
Gender	Female
Speciality	Physician Assistant
Location	71 Border Rd Ste 300, Waltham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669279105
Provider Enumeration Date: 03/03/2025
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 7618496852
Enrollment ID: I20250521002072

Medical Identifiers

Medical identifiers for Alyssa Bonanno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669279105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA101590 (Massachusetts)	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. Alyssa Bonanno 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
Alyssa Bonanno, PA-C 71 Border Rd Ste 300, Waltham, MA 02451-1044 Ph: (781) 890-2133	Alyssa Bonanno, PA-C 71 Border Rd Ste 300, Waltham, MA 02451-1044 Ph: (781) 890-2133

Reviews and Comments

Physician Assistant Nurses in Waltham, MA

Alexandra Wolfe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 840 Winter Street, Waltham, MA 02451 Phone: 781-890-2133 Fax: 781-890-2177
Rebecca Eve O'donnell Blake, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 52 Second Ave, Waltham, MA 02451 Phone: 781-487-6181 Fax: 781-487-6826
Mrs. Roya Leigh Clements, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 950 Winter St, Suite 3800, Waltham, MA 02451 Phone: 781-472-8630
Stephen Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 Winter St, Waltham, MA 02451 Phone: 781-890-2133 Fax: 781-890-2177
Lori A Croteau, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 950 Winter St, Suite 3800, Waltham, MA 02451 Phone: 781-330-9767
Allan Terrill Potts, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 34 Fairmont Ave, Waltham, MA 02453 Phone: 540-454-5241
Tessa Elizabeth Lilley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 840 Winter St, Waltham, MA 02451 Phone: 781-890-2133 Fax: 781-890-2177

Alyssa Bonanno, PA-C - Medicare Physician Assistant in Waltham, MA