Autumn Gundrum, is a
Case Manager/care Coordinator based in Mansfield, Ohio. Autumn Gundrum is licensed to practice in * (Not Available) (license number ) and her current practice location is
680 Park Ave W, Mansfield, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 528-5993.
NPI number for Autumn Gundrum is 1700641404 and her current mailing address is 680 Park Ave W, Mansfield, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700641404.
Healthcare Provider's Profile
| Full Name | Autumn Gundrum |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 680 Park Ave W, Mansfield, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700641404
- Provider Enumeration Date: 02/21/2024
- Last Update Date: 09/22/2025
Medical Identifiers
Medical identifiers for Autumn Gundrum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700641404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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. Autumn Gundrum 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 |
|---|
Autumn Gundrum,
680 Park Ave W,
Mansfield, OH 44906-3706
Ph: (419) 528-5993 | Autumn Gundrum,
680 Park Ave W,
Mansfield, OH 44906-3706
Ph: (419) 528-5993 |
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