Dr Gerald Frank Bunting-blake, MD is a
Psychiatry & Neurology - Psychiatry physician based in Davis Monthan A F B, Arizona. Dr Gerald Frank Bunting-blake is licensed to practice in Arizona (license number 31378) and his current practice location is 5380 E Kachina St, Davis Monthan A F B, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 228-4926.
NPI number for Dr Gerald Frank Bunting-blake is 1417934662 and his current mailing address is 2125 E Golf Ave, Tempe, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417934662.
Physician's Profile
Full Name | Dr Gerald Frank Bunting-blake |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 5380 E Kachina St, Davis Monthan A F B, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417934662
- Provider Enumeration Date: 12/29/2005
- Last Update Date: 11/15/2007
Medical Identifiers
Medical identifiers for Dr Gerald Frank Bunting-blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417934662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 31378 (Arizona) | Secondary |
207Q00000X | Family Medicine | 13051 (Nebraska) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 31378 (Arizona) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 13051 (Nebraska) | Secondary |
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 Gerald Frank Bunting-blake 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 |
Dr Gerald Frank Bunting-blake, MD 2125 E Golf Ave, Tempe, AZ 85282-4031 Ph: (480) 201-0781 | Dr Gerald Frank Bunting-blake, MD 5380 E Kachina St, Davis Monthan A F B, AZ 85707-4923 Ph: (520) 228-4926 |
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