Jeanne Marie Bunkers, MSW LCSW PIP
Individual provider Active NPI Clinical Social Worker · Sioux Falls, SD
NPI 1366435109 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1366435109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1755 (SD)
- Practice address
- 5010 S Broadband LN Ste 100
Sioux Falls, SD 57108-2329 - Phone
- (605) 271-1348
- Fax
- (605) 610-1477
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5000 S Minnesota Ave
Suite 200
Sioux Falls, SD 57108-2700
Phone (605) 271-1348
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060407000313 | SD | Practitioner - Clinical Social Worker | 9830108687 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1755 | SD | MD | Clinical Social Worker |
| 1753 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gleason-Wilson, Inc. | Current |
Accepting new patients | |
| Sandbulte Inc | Past | Accepting new patients |
Locations
5010 S Broadband Ln
Ste 100
Sioux Falls, SD 57108
Phone (605) 271-1348
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1755 | SD | Yes |
Addresses
Primary practice location
5010 S Broadband LN Ste 100
Sioux Falls, SD 57108-2329
Mailing address
5010 S Broadband LN Ste 100
Sioux Falls, SD 57108-2329
Phone (605) 271-1348
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6570773 | Medicaid | SD |
Other providers in Sioux Falls, SD
- Elinor A. Bunde
- Patricia J Bunger
- Megan Lynn Bunker
- Bunkers Inc
- Brandy Kay Bunkers
- Kari Ann Bunkers
- Melissa Bunkers
- Paul Joseph Bunkers
- Tenelle Jenee Bunnell
- Brianna Marie Burch
All providers in Sioux Falls, SD · Clinical Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.