Mr Jack P Bandura, MD - Internal Medicine in Memphis, TN

Mr Jack P Bandura, MD is a Internal Medicine - Cardiovascular Disease physician based in Memphis, Tennessee. Mr Jack P Bandura is licensed to practice in Tennessee (license number 9908) and his current practice location is 5959 Park Ave, Memphis, Tennessee. He can be reached at his office (for appointments etc.) via phone at (901) 765-2057.

NPI number for Mr Jack P Bandura is 1174628010 and his current mailing address is Po Box 1000, Memphis, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174628010.

Contact Information

Mr Jack P Bandura, MD
5959 Park Ave,
Memphis, TN 38119-5200
(901) 765-2057
(901) 765-2077

Map and Direction




Physician's Profile

Full NameMr Jack P Bandura
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location5959 Park Ave, Memphis, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174628010
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jack P Bandura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174628010NPI-NPPES
3859780MedicaidTN
3154736OtherTNBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 9908 (Tennessee)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. Mr Jack P Bandura 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 AddressPractice Location Address
Mr Jack P Bandura, MD
Po Box 1000,
Memphis, TN 38148-0001

Ph: (901) 523-7019
Mr Jack P Bandura, MD
5959 Park Ave,
Memphis, TN 38119-5200

Ph: (901) 765-2057

Reviews and Comments


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