Mary E Bundle, PAC is a medicare enrolled "Physician Assistant" in Richlands, North Carolina. She graduated from nursing school in 1998 and has 27 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Jacksonville Children's And Multispecialty Clinic, Pa and her current practice location is
107 S Wilmington St, Richlands, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 324-7268.
Mary E Bundle is licensed to practice in North Carolina (license number 00103537) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073598686.
Provider's Profile
| Full Name | Mary E Bundle |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 27 Years |
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| Location | 107 S Wilmington St, Richlands, North Carolina |
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| Accepts Medicare Assignments | Yes. She 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:
- Mary E Bundle graduated from nursing school in 1998
NPI Data:
- NPI Number: 1073598686
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901875426
- Enrollment ID: I20040930000555
Medical Identifiers
Medical identifiers for Mary E Bundle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073598686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 00103537 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jacksonville Children's And Multispecialty Clinic, Pa | 6709968811 | 28 |
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. Mary E Bundle 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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Mary E Bundle, PAC
Po Box 986513, Department 100,
Boston, MA 02298-6513
Ph: (910) 219-8326 | Mary E Bundle, PAC
107 S Wilmington St,
Richlands, NC 28574-8298
Ph: (910) 324-7268 |
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