DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1992705917

NPI Code Detail

MEDICARE: MICHAEL CHESTER BUONOMO MA

MEDICARE: MICHAEL CHESTER BUONOMO MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS-005959-L	PA
2	101Y00000X	Counselor	PS-005959-L	PA
3	101YM0800X	Mental Health Counselor	PS-005959-L	PA
4	101YP1600X	Pastoral Counselor	PS005959-L	PA
5	101YP2500X	Professional Counselor	PS-005959-L	PA
6	103TB0200X	Cognitive & Behavioral Psychologist	PS-005959-L	PA
7	103TC1900X	Counseling Psychologist	PS-005959-L	PA
8	103T00000X	Psychologist	PS-005959-L	PA
9	103TC2200X	Clinical Child & Adolescent Psychologist	PS-005959-L	PA
10	103TM1800X	Intellectual & Developmental Disabilities Psychologist	PS-005959-L	PA
11	305R00000X	Preferred Provider Organization	PS-005959-L	PA
12	302R00000X	Health Maintenance Organization	PS-005959-L	PA
13	305S00000X	Point of Service	PS-005959-L	PA
14	302F00000X	Exclusive Provider Organization	PS-005959-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	335793	OTHER	PA	MHN
2	BU76559	OTHER	PA	HIGHMARK BS
3	0007133457	OTHER	PA	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992705917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CHESTER BUONOMO MA

Provider Business Mailing Address
First Line	:	5781 GLEN OAKS DR
Second Line	:
City	:	NARVON
State	:	PA
Zip	:	17555-9450
Country	:	US
Telephone Number	:	717-768-4603
Fax Number	:	717-768-4604

Provider Business Practice Location Address
First Line	:	5781 GLEN OAKS DR
Second Line	:
City	:	NARVON
State	:	PA
Zip	:	17555-9450
Country	:	US
Telephone Number	:	717-768-4603
Fax Number	:	717-768-4604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	11/23/2007

Similar Medicare Providers

1417937624 — ZERBE SISTERS NURSING CENTER, INC.
Practice Location Address:

2499 ZERBE RD
NARVON, PA
17555-9328

Practice Phone: 717-445-4551
Practice Fax: 717-445-8332

1295872950 — COLLEEN LYNNE BENSINGER ATC
Practice Location Address:

2442 MAIN ST
NARVON, PA
17555-9715

Practice Phone: 610-781-2177
Practice Fax:

1285750547 — MRS. PENNY IRENE BROWN MARTIN M.S. CCC SLP
Practice Location Address:

2499 ZERBE RD
NARVON, PA
17555-9328

Practice Phone: 717-445-8734
Practice Fax: 717-445-8371

1245356047 — DELORES MARIE MILLER PTA
Practice Location Address:

2499 ZERBE RD
NARVON, PA
17555-9328

Practice Phone: 717-445-8234
Practice Fax:

1215050950 — GERALDINE ANN HIGGINS PT
Practice Location Address:

2499 ZERBE RD
NARVON, PA
17555-9328

Practice Phone: 717-445-8734
Practice Fax:

1164648234 — JENNIFER FRANCES STOVER P.T.
Practice Location Address:

2499 ZERBE RD
NARVON, PA
17555-9328

Practice Phone: 717-445-8734
Practice Fax:

Directions to “ MICHAEL CHESTER BUONOMO MA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.