Theresa Bundy, is a medicare enrolled "Community/behavioral Health" provider in Richmond, Virginia. Her current practice location is
7113 Three Chopt Rd, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 562-9997.
Theresa Bundy is licensed to practice in * (Not Available) (license number 0701008882) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548890262.
Healthcare Provider's Profile
| Full Name | Theresa Bundy |
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| Gender | Female |
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| Speciality | Community/behavioral Health |
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| Location | 7113 Three Chopt Rd, Richmond, Virginia |
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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: 1548890262
- Provider Enumeration Date: 01/22/2020
- Last Update Date: 01/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507201605
- Enrollment ID: I20240228003541
Medical Identifiers
Medical identifiers for Theresa Bundy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548890262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC1900X | Psychologist - Counseling | 0701008882 (Virginia) | Secondary |
| 251S00000X | Community/behavioral Health | 0701008882 (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theresa Bundy allows following entities to bill medicare on her behalf.
| Entity Name | Easter Seals - Michigan, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376526616
PECOS PAC ID: 9830141670
Enrollment ID: O20050221000100 |
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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. Theresa Bundy 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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Theresa Bundy,
2632 Central Ave,
Richmond, VA 23225-2062
Ph: (804) 363-6606 | Theresa Bundy,
7113 Three Chopt Rd,
Richmond, VA 23226-3643
Ph: (804) 562-9997 |
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