Dr Jonathan Bergendahl Lundy, MD | |
3698 Chambers Pass, Fort Sam Houston, TX 78234-7766 | |
(210) 539-3219 | |
Not Available |
Full Name | Dr Jonathan Bergendahl Lundy |
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Gender | Male |
Speciality | Surgery |
Location | 3698 Chambers Pass, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1841344678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207XS0106X | Orthopaedic Surgery - Hand Surgery | 18872 (North Dakota) | Secondary |
208600000X | Surgery | 054457 (Georgia) | Primary |
Entity Name | Acute Care Surgery Of South Dakota Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730797184 PECOS PAC ID: 5698195030 Enrollment ID: O20201026000211 |
Mailing Address | Practice Location Address |
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Dr Jonathan Bergendahl Lundy, MD 3698 Chambers Pass, Fort Sam Houston, TX 78234-7766 Ph: (210) 539-3219 | Dr Jonathan Bergendahl Lundy, MD 3698 Chambers Pass, Fort Sam Houston, TX 78234-7766 Ph: (210) 539-3219 |
Dr. George Earl Peoples Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4235 Fax: 210-916-5102 | |
Dr. Jeremy Tyler Bolin, MD Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Candace Ward, MD, MPH Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500 | |
Penelope Anne Herder, DO Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Tommy Alan Brown Ii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3400 | |
Dr. Pamela Christine Masella, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0393 | |
Dr. Jamie Rand, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |