Kenneth R Jungblut, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lyndhurst, New Jersey. His current practice location is
516 Valley Brook Ave, Lyndhurst, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 935-3322.
Kenneth R Jungblut is licensed to practice in New Jersey (license number MA040387) 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 1760415681.
Physician's Profile
Full Name | Kenneth R Jungblut |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 516 Valley Brook Ave, Lyndhurst, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760415681
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 04/04/2008
Medicare PECOS Information:
- PECOS PAC ID: 7719958750
- Enrollment ID: I20080428000596
Medical Identifiers
Medical identifiers for Kenneth R Jungblut such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760415681 | NPI | - | NPPES |
0036501 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MA040387 (New Jersey) | Primary |
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. Kenneth R Jungblut 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 |
Kenneth R Jungblut, MD 516 Valley Brook Ave, Lyndhurst, NJ 07071-0000 Ph: (201) 935-3322 | Kenneth R Jungblut, MD 516 Valley Brook Ave, Lyndhurst, NJ 07071-0000 Ph: (201) 935-3322 |
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