Brett R Bunker, PA is a medicare enrolled "Physician Assistant" in Brewerton, New York. His current practice location is
9677 Brewerton Rd, Brewerton, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 668-3908.
Brett R Bunker is licensed to practice in New York (license number 011768) 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 1013055425.
Provider's Profile
| Full Name | Brett R Bunker |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 9677 Brewerton Rd, Brewerton, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013055425
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 11/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 2567598006
- Enrollment ID: I20100410000114
Medical Identifiers
Medical identifiers for Brett R Bunker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013055425 | NPI | - | NPPES |
| 03316929 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 107486 (New York) | Secondary |
| 363A00000X | Physician Assistant | 011768 (New York) | 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. Brett R Bunker 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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Brett R Bunker, PA
6163 Birchwood Rd,
North Syracuse, NY 13212-1801
Ph: (315) 263-8645 | Brett R Bunker, PA
9677 Brewerton Rd,
Brewerton, NY 13029-8738
Ph: (315) 668-3908 |
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