Dr David W Bundy Jr, DO is a medicare enrolled "Emergency Medicine" physician in Hollidaysburg, Pennsylvania. His current practice location is
129 Summit Dr, Hollidaysburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 695-2370.
Dr David W Bundy Jr is licensed to practice in North Carolina (license number 2024-00840) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346292554.
Physician's Profile
Full Name | Dr David W Bundy Jr |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 129 Summit Dr, Hollidaysburg, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346292554
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 08/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305840398
- Enrollment ID: I20060906000121
Medical Identifiers
Medical identifiers for Dr David W Bundy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346292554 | NPI | - | NPPES |
1017562620001 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | OS013273 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | OS013273 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 2024-00840 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David W Bundy Jr allows following entities to bill medicare on his behalf.
Entity Name | J C Blair Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790996445 PECOS PAC ID: 2668378407 Enrollment ID: O20031211000322 |
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Entity Name | Tyrone Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659472447 PECOS PAC ID: 4183619885 Enrollment ID: O20040420000610 |
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Entity Name | Windber Hospital Inc |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1790999837 PECOS PAC ID: 9234187576 Enrollment ID: O20050411000395 |
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Entity Name | Dubois Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992802391 PECOS PAC ID: 5890689715 Enrollment ID: O20050411000464 |
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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. Dr David W Bundy Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr David W Bundy Jr, DO 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr David W Bundy Jr, DO 129 Summit Dr, Hollidaysburg, PA 16648-9507 Ph: (814) 695-2370 |
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