| Robert J. Bunge, M.d., Psc | |
|
3121 Wall St Lexington KY 40513-1711 | |
| (859) 223-6700 | |
| (859) 223-5202 |
| Full Name | Robert J. Bunge, M.d., Psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3121 Wall St, Lexington, Kentucky |
| Authorized Official Name and Position | Robert J. Bunge (PRESIDENT) |
| Authorized Official Contact | 8592236700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Bunge, M.d., Psc 3121 Wall St Lexington KY 40513-1711 Ph: (859) 223-6700 | Robert J. Bunge, M.d., Psc 3121 Wall St Lexington KY 40513-1711 Ph: (859) 223-6700 |
| NPI Number | 1386860096 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 07/25/2007 |
| Medicare PECOS PAC ID | 2769470368 |
|---|---|
| Medicare Enrollment ID | O20040503001515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386860096 | NPI | - | NPPES |
| 1396727079 | Other | KY | INDIVIDUAL PROVIDER NPI |
| 000000048820 | Other | KY | ANTHEM |
| 64225238 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22523 (Kentucky) | Primary |
| Provider Name | Robert John Bunge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396727079 PECOS PAC ID: 2062400674 Enrollment ID: I20101115001426 |
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