Mary Bunch, FNP | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 635-5264 | |
Not Available |
Full Name | Mary Bunch |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396296331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2023020074 (Missouri) | Primary |
363LW0102X | Nurse Practitioner - Women's Health | 2016036971 (Missouri) | Secondary |
Entity Name | Ssm Audrain Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841334836 PECOS PAC ID: 3678481827 Enrollment ID: O20040129000368 |
Entity Name | Jefferson City Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
Mailing Address | Practice Location Address |
---|---|
Mary Bunch, FNP 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 | Mary Bunch, FNP 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Jeremey James Laflamme, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 | |
Ashlee Kathleen Parkes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-634-4878 Fax: 573-634-4723 | |
Judith A. Wienke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-634-7423 | |
Jill A. Kliethermes, APRN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5747 Fax: 573-635-5264 | |
Sara J Marso, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2511 W Edgewood Dr Ste D, Jefferson City, MO 65109 Phone: 573-761-0304 Fax: 573-635-0726 | |
Taran Elyse Burgess Murphy, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 | |
Rachel Wieberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 |