Michelle Bonifas, is a
Psychologist - School based in Piqua, Ohio. Michelle Bonifas is licensed to practice in Ohio (license number 00458) and current practice location is
145 E Us Hwy 36, Piqua, Ohio. can be reached at office (for appointments etc.) via phone at
(937) 773-4321.
NPI number for Michelle Bonifas is 1508784257 and current mailing address is 625 Pinehurst Dr, Tipp City, Ohio.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1508784257.
Healthcare Provider's Profile
| Full Name | Michelle Bonifas |
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| Gender | |
|---|
| Speciality | Psychologist - School |
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| Location | 145 E Us Hwy 36, Piqua, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508784257
- Provider Enumeration Date: 07/09/2026
- Last Update Date: 07/09/2026
Medical Identifiers
Medical identifiers for Michelle Bonifas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508784257 | NPI | - | NPPES |
| 00458 | Other | OH | STATE LICENSING BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | 00458 (Ohio) | 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. Michelle Bonifas 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 |
Michelle Bonifas, 625 Pinehurst Dr, Tipp City, OH 45371-8603 Ph: (937) 773-4321 | Michelle Bonifas, 145 E Us Hwy 36, Piqua, OH 45356-8201 Ph: (937) 773-4321 |
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