Thomas Bunnell, MD | |
85 N Grand Ave, Fort Thomas, KY 41075-1793 | |
(859) 572-3366 | |
Not Available |
Full Name | Thomas Bunnell |
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Gender | Male |
Speciality | Internal Medicine |
Location | 85 N Grand Ave, Fort Thomas, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417949876 | NPI | - | NPPES |
64159809 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15980 (Kentucky) | Primary |
Entity Name | Summit Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
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Thomas Bunnell, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 572-3366 | Thomas Bunnell, MD 85 N Grand Ave, Fort Thomas, KY 41075-1793 Ph: (859) 572-3366 |
Zi-rou Liew Vendome, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 | |
Sundeep Singh Bajwa, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-301-8074 Fax: 859-301-4945 | |
Maria P. Pavlou, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 | |
Robert Dillon Weber, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, St Elizabeth Same Day Surgery, Fort Thomas, KY 41075 Phone: 859-572-3100 Fax: 859-344-5553 | |
Dr. Rajiv Verma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-912-7211 Fax: 859-655-6674 |