Christopher Sullivan Bourke Jr, DPM - Medicare Podiatrist in Leesburg, VA

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Christopher Sullivan Bourke Jr, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Leesburg, Virginia. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc, Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc, Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc and his current practice location is 19450 Deerfield Ave Ste 200, Leesburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 777-3262.

Christopher Sullivan Bourke Jr is licensed to practice in Virginia (license number 0103301260) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225456361.

Contact Information

Christopher Sullivan Bourke Jr, DPM
19450 Deerfield Ave Ste 200,
Leesburg, VA 20176-6821
(703) 777-3262
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameChristopher Sullivan Bourke Jr
GenderMale
SpecialityPodiatry
Experience12 Years
Location19450 Deerfield Ave Ste 200, Leesburg, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christopher Sullivan Bourke Jr graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1225456361
  • Provider Enumeration Date: 04/05/2014
  • Last Update Date: 06/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2264721091
  • Enrollment ID: I20190930000351

Medical Identifiers

Medical identifiers for Christopher Sullivan Bourke Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225456361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery SC006559 (Pennsylvania)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery E5421 (California)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 0103301260 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Virginia Hospital CenterArlington, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc37794958581964
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc37794958581964
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc37794958581964

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. Christopher Sullivan Bourke Jr allows following entities to bill medicare on his behalf.
Provider NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308
Provider NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1578638425
PECOS PAC ID: 3779495858
Enrollment ID: O20040805001280
Provider NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1073678637
PECOS PAC ID: 3779495858
Enrollment ID: O20100729000796
Provider NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1366781700
PECOS PAC ID: 3779495858
Enrollment ID: O20130507000207
Provider NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1497023188
PECOS PAC ID: 3779495858
Enrollment ID: O20131029000108

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. Christopher Sullivan Bourke Jr 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
Christopher Sullivan Bourke Jr, DPM
224d Cornwall St Nw Ste 403,
Leesburg, VA 20176-2704

Ph: () -		Christopher Sullivan Bourke Jr, DPM
19450 Deerfield Ave Ste 200,
Leesburg, VA 20176-6821

Ph: (703) 777-3262

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.