Dr Alysha Buonerba, is a
Psychologist - Clinical based in Joint Base Charleston, South Carolina. Dr Alysha Buonerba is licensed to practice in South Carolina (license number 1317) and her current practice location is
204 W Hill Blvd, Joint Base Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 963-6880.
NPI number for Dr Alysha Buonerba is 1487212742 and her current mailing address is 204 W Hill Blvd, Joint Base Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487212742.
Healthcare Provider's Profile
| Full Name | Dr Alysha Buonerba |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 204 W Hill Blvd, Joint Base Charleston, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487212742
- Provider Enumeration Date: 06/03/2019
- Last Update Date: 08/29/2023
Medical Identifiers
Medical identifiers for Dr Alysha Buonerba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487212742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 1317 (South Carolina) | 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 Alysha Buonerba 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 Alysha Buonerba, 204 W Hill Blvd, Joint Base Charleston, SC 29404-4704 Ph: (843) 963-6880 | Dr Alysha Buonerba, 204 W Hill Blvd, Joint Base Charleston, SC 29404-4704 Ph: (843) 963-6880 |
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