James Edgar Lundeen Sr, MD is a
Physical Medicine & Rehabilitation - Pain Medicine physician based in Plymouth, Ohio. James Edgar Lundeen Sr is licensed to practice in Ohio (license number 35052257) and his current practice location is 26 Sandusky St, Plymouth, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 687-4322.
NPI number for James Edgar Lundeen Sr is 1962654731 and his current mailing address is 26 Sandusky St, Plymouth, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962654731.
Physician's Profile
| Full Name | James Edgar Lundeen Sr |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 26 Sandusky St, Plymouth, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962654731
- Provider Enumeration Date: 10/10/2008
- Last Update Date: 02/25/2011
Medical Identifiers
Medical identifiers for James Edgar Lundeen Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962654731 | NPI | - | NPPES |
| 0604322 | Medicaid | OH | |
| 0808943 | Other | OH | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 35052257 (Ohio) | Primary |
| 208D00000X | General Practice | 35052257 (Ohio) | Secondary |
| 209800000X | Legal Medicine | 35052257 (Ohio) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 35052257 (Ohio) | Secondary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 35052257 (Ohio) | 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. James Edgar Lundeen Sr 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 |
|---|
James Edgar Lundeen Sr, MD
26 Sandusky St,
Plymouth, OH 44865-1113
Ph: (419) 687-4322 | James Edgar Lundeen Sr, MD
26 Sandusky St,
Plymouth, OH 44865-1113
Ph: (419) 687-4322 |
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