Jacob Joseph Bundy, MD in Winston Salem, NC

Jacob Joseph Bundy, MD is a medicare enrolled "Radiology - Body Imaging" physician in Winston Salem, North Carolina. His current practice location is Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-3560.

Jacob Joseph Bundy is licensed to practice in North Carolina (license number 248513) 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 1902396898.

Contact Information

	Jacob Joseph Bundy, MD
	Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-5331
	(336) 716-3560
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Joseph Bundy
Gender	Male
Speciality	Radiology - Body Imaging
Location	Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902396898
Provider Enumeration Date: 05/16/2018
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 6406111467
Enrollment ID: I20230705001450

Medical Identifiers

Medical identifiers for Jacob Joseph Bundy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902396898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	248513 (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. Jacob Joseph Bundy allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Wake Forest Baptist Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972763357 PECOS PAC ID: 3173681681 Enrollment ID: O20081027000587

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. Jacob Joseph Bundy 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
Jacob Joseph Bundy, MD Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-1088 Ph: (336) 716-3560	Jacob Joseph Bundy, MD Wake Forest Baptist Health Medical Center Boulevard, Winston Salem, NC 27157-5331 Ph: (336) 716-3560

Reviews and Comments

Radiology Doctors in Winston Salem, NC

Janet K. Horton, MD Radiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Caroline Chiles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Dr. James L Sanderford Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1365 Westgate Center Dr, Suite K-1, Winston Salem, NC 27103 Phone: 336-760-4450 Fax: 336-760-6197
Dr. Tatum S Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202
Jao Ou, Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011
Dr. Constantinos Theodoros Spyris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3010 Trenwest Dr Ste 200, Winston Salem, NC 27103 Phone: 336-970-5300 Fax: 336-970-5298
Dr. Marcella Maria Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3155 Maplewood Ave, Winston Salem, NC 27103 Phone: 336-794-4372 Fax: 336-659-2379

Jacob Joseph Bundy, MD - Medicare Radiology in Winston Salem, NC