Mrs Bridget M Bouyssounouse, PT in Santa Clara, CA - Medicare Physical Therapist Provider

Mrs Bridget M Bouyssounouse, PT is a medicare enrolled "Physical Therapist" provider in Santa Clara, California. Her current practice location is 710 Lawrence Expy, Dept. #174, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 851-1466.

Mrs Bridget M Bouyssounouse is licensed to practice in California (license number 16306) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003961558.

Contact Information

	Mrs Bridget M Bouyssounouse, PT
	710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051-5173
	(408) 851-1466
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Bridget M Bouyssounouse
Gender	Female
Speciality	Physical Therapist
Location	710 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003961558
Provider Enumeration Date: 01/24/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4082863790
Enrollment ID: I20121012000058

Medical Identifiers

Medical identifiers for Mrs Bridget M Bouyssounouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003961558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	16306 (California)	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. Mrs Bridget M Bouyssounouse allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mrs Bridget M Bouyssounouse 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
Mrs Bridget M Bouyssounouse, PT 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051-5173 Ph: (408) 851-1466	Mrs Bridget M Bouyssounouse, PT 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051-5173 Ph: (408) 851-1466

Reviews and Comments

Physical Therapist in Santa Clara, CA

Karissa Taan, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1492
Darlene Alexandria Remo Villatuya, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy Dept 174, Santa Clara, CA 95051 Phone: 408-851-1400
Chelsea Bendebel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Lafayette St Ste 105, Santa Clara, CA 95050 Phone: 408-293-7794
Dr. James Purayampallil Gipson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 Monroe St, Santa Clara, CA 95050 Phone: 408-246-5861
Brooke Noelle Strishock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Dept 174, Santa Clara, CA 95051 Phone: 408-851-4000
Linda Trinh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1400

Mrs Bridget M Bouyssounouse, PT - Medicare Physical Therapist in Santa Clara, CA