Mr Stephen J Bundra, MD is a medicare enrolled "Family Medicine" physician in Wilmette, Illinois. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 1982 and has 43 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
1921 Lake Ave Ste B, Wilmette, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 853-9100.
Mr Stephen J Bundra is licensed to practice in Illinois (license number 036069601) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326064387.
Physician's Profile
| Full Name | Mr Stephen J Bundra |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 43 Years |
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| Location | 1921 Lake Ave Ste B, Wilmette, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Stephen J Bundra attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 1982
NPI Data:
- NPI Number: 1326064387
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 02/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648261693
- Enrollment ID: I20040726000019
Medical Identifiers
Medical identifiers for Mr Stephen J Bundra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326064387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036069601 (Illinois) | Primary |
Medical Facilities Affiliation
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. Mr Stephen J Bundra allows following entities to bill medicare on his behalf.
| Entity Name | Stephen J Bundra Md Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770638959
PECOS PAC ID: 3779574728
Enrollment ID: O20040722000567 |
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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. Mr Stephen J Bundra 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 |
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Mr Stephen J Bundra, MD
1921 Lake Ave Ste B,
Wilmette, IL 60091-1480
Ph: (847) 853-9100 | Mr Stephen J Bundra, MD
1921 Lake Ave Ste B,
Wilmette, IL 60091-1480
Ph: (847) 853-9100 |
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