Michael Bourque, MD in Hartford, CT - Medicare Obstetrics & Gynecology

Michael Bourque, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Hartford, Connecticut. His current practice location is 19 Woodland Street, Suite 31, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 728-1212.

Michael Bourque is licensed to practice in Connecticut (license number 020526) 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 1760585855.

Contact Information

	Michael Bourque, MD
	19 Woodland Street, Suite 31, Hartford, CT 06105
	(860) 728-1212
	(860) 724-5224

Map and Direction

Physician's Profile

Full Name	Michael Bourque
Gender	Male
Speciality	Obstetrics & Gynecology
Location	19 Woodland Street, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760585855
Provider Enumeration Date: 09/06/2006
Last Update Date: 01/06/2012

Medicare PECOS Information:

PECOS PAC ID: 0648324467
Enrollment ID: I20090813000311

Medical Identifiers

Medical identifiers for Michael Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760585855	NPI	-	NPPES
001205269	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	020526 (Connecticut)	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. Michael Bourque allows following entities to bill medicare on his behalf.

Entity Name	Trinity Health Of New England Provider Network Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651

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. Michael Bourque 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
Michael Bourque, MD 19 Woodland Street, Suite 31, Hartford, CT 06105 Ph: (860) 728-1212	Michael Bourque, MD 19 Woodland Street, Suite 31, Hartford, CT 06105 Ph: (860) 728-1212

Reviews and Comments

Obstetrics & Gynecology Doctors in Hartford, CT

Ellen Robinson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 100 Retreat Ave, Suite 201, Hartford, CT 06106 Phone: 860-246-8568 Fax: 860-728-5076
Howard Andrew Shaw, MD, MBA Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 2110, Hartford, CT 06105 Phone: 860-714-7945 Fax: 860-714-8880
Mark Wolf, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 Asylum Ave, Suite 4319, Hartford, CT 06105 Phone: 860-714-4440 Fax: 860-714-8012
Behzad Satvat, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 136 Retreat Ave, Hartford, CT 06106 Phone: 860-547-0306 Fax: 860-525-9782
Felice Colliton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19 Woodland Street, Suite 31, Hartford, CT 06105 Phone: 860-728-1212 Fax: 860-724-5224
Elena Tunitsky-bitton, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour Street, Hartford Hospital Professional Services, Hartford, CT 06102 Phone: 860-545-4338
Dr. Charles J. Ingardia, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour Street, Hartford Hospital Maternal-fetal Medicine, Hartford, CT 06102 Phone: 860-545-2884

Michael Bourque, MD - Medicare Obstetrics & Gynecology in Hartford, CT