Samantha Bundy, LCSW is a
Social Worker - Clinical based in Chatham, Illinois. Samantha Bundy is licensed to practice in Illinois (license number 149018490) and her current practice location is
101 E Plummer Blvd, Chatham, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 483-3487.
NPI number for Samantha Bundy is 1093218976 and her current mailing address is Po Box 3428, Springfield, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093218976.
Healthcare Provider's Profile
Full Name | Samantha Bundy |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 101 E Plummer Blvd, Chatham, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093218976
- Provider Enumeration Date: 03/16/2018
- Last Update Date: 03/16/2018
Medical Identifiers
Medical identifiers for Samantha Bundy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093218976 | NPI | - | NPPES |
149018490 | Other | IL | LCSW LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149018490 (Illinois) | 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. Samantha Bundy 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 Address | Practice Location Address |
Samantha Bundy, LCSW Po Box 3428, Springfield, IL 62708-3428 Ph: (217) 588-2624 | Samantha Bundy, LCSW 101 E Plummer Blvd, Chatham, IL 62629-8047 Ph: (217) 483-3487 |
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