Dr Pamela Wilbanks Bunting, DO | |
1011 Bowles Ave Ste G10, Fenton, MO 63026-2387 | |
(636) 496-5453 | |
Not Available |
Full Name | Dr Pamela Wilbanks Bunting |
---|---|
Gender | Female |
Speciality | Surgical Oncology |
Experience | 17 Years |
Location | 1011 Bowles Ave Ste G10, Fenton, Missouri |
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 |
---|---|---|---|
1407004872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | 2009007650 (Missouri) | Secondary |
208600000X | Surgery | 2009007650 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Clare Health Center | Fenton, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Medical Group Inc | 6608776299 | 496 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Dr Pamela Wilbanks Bunting, DO Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Dr Pamela Wilbanks Bunting, DO 1011 Bowles Ave Ste G10, Fenton, MO 63026-2387 Ph: (636) 496-5453 |
Dr. Aaron Bornstein, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026 Phone: 636-496-5060 | |
Mr. Enrique Pastrana, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave., Suite 300, Fenton, MO 63026 Phone: 636-496-5030 Fax: 636-496-5035 | |
Patricia White Hodgins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1011 Bowles Ave Ste 425, Fenton, MO 63026 Phone: 636-496-5080 |