| Miranda Bunge, DC | |
|
3407 Fern Valley Rd, Louisville, KY 40213-3529 | |
| (502) 961-9355 | |
| (502) 961-9357 |
| Full Name | Miranda Bunge |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 9 Years |
| Location | 3407 Fern Valley Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245618420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1234 (Tennessee) | Secondary |
| 111N00000X | Chiropractor | 5471 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jones Chiropractic And Massage Inc | 5597910109 | 3 |
| Provider Name | Jones Chiropractic And Massage Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720366081 PECOS PAC ID: 5597910109 Enrollment ID: O20130306000073 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Bunge, DC 8678 Ramsey Ln, Du Quoin, IL 62832-3862 Ph: (618) 318-1351 | Miranda Bunge, DC 3407 Fern Valley Rd, Louisville, KY 40213-3529 Ph: (502) 961-9355 |
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