Mary E Bundy, LAC, OTR/L is a
Occupational Therapist based in South Bend, Indiana. Mary E Bundy is licensed to practice in Indiana (license number 31001987A) and her current practice location is
318 S Frances St, South Bend, Indiana. She can be reached at her office (for appointments etc.) via phone at
(772) 263-3956.
NPI number for Mary E Bundy is 1871756171 and her current mailing address is 1507 Chicago Ave, Evanston, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871756171.
Healthcare Provider's Profile
| Full Name | Mary E Bundy |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 318 S Frances St, South Bend, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871756171
- Provider Enumeration Date: 07/07/2008
- Last Update Date: 03/27/2015
Medical Identifiers
Medical identifiers for Mary E Bundy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871756171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 171100000X | Acupuncturist | 84000148A (Indiana) | Secondary |
| 225X00000X | Occupational Therapist | 31001987A (Indiana) | 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. Mary E Bundy 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 |
Mary E Bundy, LAC, OTR/L 1507 Chicago Ave, Evanston, IL 60201-4405 Ph: (772) 263-3956 | Mary E Bundy, LAC, OTR/L 318 S Frances St, South Bend, IN 46617-3208 Ph: (772) 263-3956 |
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