Ryan Bourdon, MD in Saint Paul, MN - Medicare Emergency Medicine

Ryan Bourdon, MD is a medicare enrolled "Emergency Medicine" physician in Saint Paul, Minnesota. His current practice location is 640 Jackson St, Mc 11102f, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-3666.

Ryan Bourdon is licensed to practice in Minnesota (license number 57524) 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 1194011148.

Contact Information

	Ryan Bourdon, MD
	640 Jackson St, Mc 11102f, Saint Paul, MN 55101-2502
	(651) 254-3666
	Not Available

Map and Direction

Physician's Profile

Full Name	Ryan Bourdon
Gender	Male
Speciality	Emergency Medicine
Location	640 Jackson St, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194011148
Provider Enumeration Date: 06/28/2011
Last Update Date: 05/10/2019

Medicare PECOS Information:

PECOS PAC ID: 5496978769
Enrollment ID: I20140514001858

Medical Identifiers

Medical identifiers for Ryan Bourdon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194011148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	61856-20 (Wisconsin)	Secondary
207P00000X	Emergency Medicine	57524 (Minnesota)	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. Ryan Bourdon allows following entities to bill medicare on his behalf.

Entity Name	Hudson Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396849303 PECOS PAC ID: 0648183061 Enrollment ID: O20031121000807

Entity Name	Amery Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207

Entity Name	St. Croix Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217

Entity Name	Westfields Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350

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. Ryan Bourdon 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
Ryan Bourdon, MD 640 Jackson St, Mc 11102f, Saint Paul, MN 55101-2502 Ph: (651) 254-3666	Ryan Bourdon, MD 640 Jackson St, Mc 11102f, Saint Paul, MN 55101-2502 Ph: (651) 254-3666

Reviews and Comments

Emergency Medicine Doctors in Saint Paul, MN

Dr. Katherine Glasrud, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 612-863-6590
Dr. Brian Thomas Gooley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755
Gerald Fred Peterson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755 Fax: 651-241-7154
Samantha Anne Wen, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, United Hospital, Saint Paul, MN 55102 Phone: 612-241-8755
Benjamin J Peake, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3666
Dr. Andrew Richard Zinkel, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson St, 11102f, Saint Paul, MN 55101 Phone: 651-254-5211 Fax: 651-254-5216
Emily M Thompson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-853-8800 Fax: 651-293-8106

Ryan Bourdon, MD - Medicare Emergency Medicine in Saint Paul, MN