Individual provider Active NPI

Cheryl Bunk

  • Medical Physician Assistant
  • Shickshinny, PA
National Provider Identifier
1285730663
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
237 Shickshinny Lake Rd
Shickshinny, PA 18655-3045
Phone
(570) 344-9266
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

237 Shickshinny Lake Rd
Shickshinny, PA 18655-3045

Mailing address

237 Shickshinny Lake Rd
Shickshinny, PA 18655-3045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000283 PA Practitioner - Physician Assistant 0446290126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Corporation of Northeastern Pennsylvania CurrentSince Sep 1, 2021 Accepting new patients
Rural Health Corporation of Northeastern Pennsylvania CurrentSince Sep 1, 2021 Accepting new patients

Locations

26 N Main St
Shickshinny, PA 18655
Phone (570) 542-4141

276 E End Ctr
Wilkes Barre, PA 18702
Phone (570) 825-8741

Interoperability endpoints

  • Direct secure messaging: cherylbunkpac@rhc.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285730663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 SHICKSHINNY LAKE RD",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186553045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 SHICKSHINNY LAKE RD",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186553045",
            "telephone_number": "570-344-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNK",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shickshinny, PA

Sources for this page

Verify at the official NPI Registry.