| 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 |