Dr Michael V Bourn, DO - Medicare Preventive Medicine in Columbus, OH

Dr Michael V Bourn, DO is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Columbus, Ohio. His current practice location is 1161 Bethel Rd Ste 203, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 459-0350.

Dr Michael V Bourn is licensed to practice in Ohio (license number 61-21847) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548292519.

Contact Information

Dr Michael V Bourn, DO
1161 Bethel Rd Ste 203,
Columbus, OH 43220-2773
(614) 459-0350
(614) 456-0355

Map and Direction




Physician's Profile

Full NameDr Michael V Bourn
GenderMale
SpecialityPreventive Medicine - Addiction Medicine
Location1161 Bethel Rd Ste 203, Columbus, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548292519
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 05/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799683371
  • Enrollment ID: I20100621000181

Medical Identifiers

Medical identifiers for Dr Michael V Bourn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548292519NPI-NPPES
2320401MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 34-00-4435-B (Ohio)Secondary
207PH0002XEmergency Medicine - Hospice And Palliative Medicine 34.007735 (Ohio)Secondary
207RA0401XInternal Medicine - Addiction Medicine 34.007735 (Ohio)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 34.007735 (Ohio)Secondary
2083A0300XPreventive Medicine - Addiction Medicine 61-21847 (Ohio)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. Dr Michael V Bourn allows following entities to bill medicare on his behalf.
Entity NameMid-ohio Emergency Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386691780
PECOS PAC ID: 8921907601
Enrollment ID: O20031231000569
Entity NameGrady Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235174327
PECOS PAC ID: 1254314586
Enrollment ID: O20040609000353
Entity NameCenter For Symptom Relief Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710201868
PECOS PAC ID: 6204951767
Enrollment ID: O20100921000694
Entity NameBrightview Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659769446
PECOS PAC ID: 9032426044
Enrollment ID: O20150923000820

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. Dr Michael V Bourn 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 AddressPractice Location Address
Dr Michael V Bourn, DO
5368 Stockton Ct,
Powell, OH 43065-8602

Ph: (614) 598-6588
Dr Michael V Bourn, DO
1161 Bethel Rd Ste 203,
Columbus, OH 43220-2773

Ph: (614) 459-0350

Reviews and Comments


Preventive Medicine Doctors in Columbus, OH

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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