| Dr Jonathan Bergendahl Lundy, MD | |
|
3698 Chambers Pass, Fort Sam Houston, TX 78234-7766 | |
| (210) 539-3219 | |
| Not Available |
| Full Name | Dr Jonathan Bergendahl Lundy |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3698 Chambers Pass, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841344678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 18872 (North Dakota) | Secondary |
| 208600000X | Surgery | 054457 (Georgia) | Primary |
| Entity Name | Acute Care Surgery Of South Dakota Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730797184 PECOS PAC ID: 5698195030 Enrollment ID: O20201026000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Bergendahl Lundy, MD 3698 Chambers Pass, Fort Sam Houston, TX 78234-7766 Ph: (210) 539-3219 | Dr Jonathan Bergendahl Lundy, MD 3698 Chambers Pass, Fort Sam Houston, TX 78234-7766 Ph: (210) 539-3219 |
Dr. George Earl Peoples Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4235 Fax: 210-916-5102 | |
Dr. Jeremy Tyler Bolin, MD Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Penelope Anne Herder, DO Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Tommy Alan Brown Ii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3400 | |
Dr. Pamela Christine Masella, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0393 | |
Dr. Bradley A Rittenhouse, MD Surgery Medicare: Medicare Enrolled Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Justin Jay Sleeter, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa, Fort Sam Houston, TX 78234 Phone: 210-916-0439 |