| Nicole Bonanni, PA-C | |
|
180 Admiral Cochrane Dr Ste 430, Annapolis, MD 21401-8405 | |
| (410) 339-0760 | |
| (410) 263-7482 |
| Full Name | Nicole Bonanni |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 180 Admiral Cochrane Dr Ste 430, Annapolis, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235534645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0005565 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anne Arundel Dermatology Pa | 6608761960 | 126 |
| Entity Name | St Paul Place Specialists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
| Entity Name | Anne Arundel Dermatology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063481703 PECOS PAC ID: 6608761960 Enrollment ID: O20040217000376 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Bonanni, PA-C Po Box 23329, New York, NY 10087-3329 Ph: Not Available | Nicole Bonanni, PA-C 180 Admiral Cochrane Dr Ste 430, Annapolis, MD 21401-8405 Ph: (410) 339-0760 |
Albert E. Coombs, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 250 Wood Rd, Annapolis, MD 21402 Phone: 410-293-4378 |
Clifford Amos, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Harry S Truman Pkwy, Annapolis, MD 21401 Phone: 410-897-0272 Fax: 410-897-1968 |
Teresa Lee Gore, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2114 Generals Hwy, Annapolis, MD 21401 Phone: 410-721-0311 |
Jill Monroe Schumacher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Parkway, Ste 101, Annapolis, MD 21401 Phone: 410-295-8900 Fax: 410-280-4701 |
Marshae Cappaninee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1750 Forest Dr, Annapolis, MD 21401 Phone: 301-535-8913 |
Mrs. Julie A Viera, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Suite 304, Annapolis, MD 21401 Phone: 410-573-9530 Fax: 410-573-9569 |
Mr. Jacob Manuel Aja, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Pkwy, Suite 101, Annapolis, MD 21401 Phone: 410-295-8900 Fax: 410-280-4701 |