Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariah Bundy

Individual provider Physician Assistant · NPI 1770104697

Mariah Bundy is a Physician Assistant in Worcester, Massachusetts. Qualified in 2020, 6 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
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Practice location Address checks out

279 Lincoln St
Worcester, MA 01605-2120
Phone: (508) 334-8830
Fax: (508) 334-8810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7801 (MA)

Record details

NPI number1770104697
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2020
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing addressPo Box 415348, Boston, MA 02241-5348

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Worcester