Jeffrey Bonacci, M.D.
Individual provider Active NPI Psychiatry Physician · Staunton, VA
NPI 1396703286 · NPPES record last updated Jan 19, 2016
Key facts
- NPI
- 1396703286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 0101227767 (VA)
- Practice address
- 103 Valley Center Dr
Staunton, VA 24401-5080 - Phone
- (540) 332-8139
- Fax
- (540) 332-8197
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101227767 | VA | Yes |
Addresses
Primary practice location
103 Valley Center Dr
Staunton, VA 24401-5080
Mailing address
PO Box 2500
103 Valley Center Drive
Staunton, VA 24402-2500
Phone (540) 333-8139
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All providers in Staunton, VA · Psychiatry Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.