Blaine Bunch, is a
Occupational Therapist based in Waynesboro, Mississippi. Blaine Bunch is licensed to practice in Mississippi (license number 2524) and her current practice location is
1304 Walnut St, Waynesboro, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 735-9025.
NPI number for Blaine Bunch is 1053061259 and her current mailing address is 754 Buckatunna Chicora Clara Rd, Waynesboro, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053061259.
Healthcare Provider's Profile
| Full Name | Blaine Bunch |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 1304 Walnut St, Waynesboro, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053061259
- Provider Enumeration Date: 03/28/2022
- Last Update Date: 03/28/2022
Medical Identifiers
Medical identifiers for Blaine Bunch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053061259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 2524 (Mississippi) | 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. Blaine Bunch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Blaine Bunch,
754 Buckatunna Chicora Clara Rd,
Waynesboro, MS 39367-7381
Ph: (601) 381-1719 | Blaine Bunch,
1304 Walnut St,
Waynesboro, MS 39367-2232
Ph: (601) 735-9025 |
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