| Dr Mary Lynn Bundy, MD | |
| 
					1108 Northview Dr Ste 1, Hillsboro, OH 45133  | |
| (937) 393-5781 | |
| (937) 393-5784 | 
| Full Name | Dr Mary Lynn Bundy | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1108 Northview Dr Ste 1, Hillsboro, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891762258 | NPI | - | NPPES | 
| 0297624 | Medicaid | OH | |
| 64265440 | Medicaid | KY | |
| 200454960A | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 01037496A (Indiana) | Secondary | 
| 208000000X | Pediatrics | 26544 (Kentucky) | Secondary | 
| 208000000X | Pediatrics | 35.134104 (Ohio) | Primary | 
| Entity Name | Community Medical Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452  | 
| Entity Name | Reid Physician Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265689111 PECOS PAC ID: 6406910769 Enrollment ID: O20090130000573  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mary Lynn Bundy, MD 1919 State St, Suite 362, New Albany, IN 47150-4929 Ph: (812) 944-5888  | Dr Mary Lynn Bundy, MD 1108 Northview Dr Ste 1, Hillsboro, OH 45133 Ph: (937) 393-5781  | 
Poonam Singh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1402 N High St, Hillsboro, OH 45133 Phone: 937-393-4899  | |
Miss Sophela Minoza Mesina, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 957 North High Street, Hillsboro, OH 45133 Phone: 937-393-4255 Fax: 937-393-4256  | |
Tamara Lynn Yacobucci, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1402 N High St, Hillsboro, OH 45133 Phone: 937-393-4899  |