Brianna C Bourne, is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. She graduated from healthcare school in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is
1012 W Abriendo Ave, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 545-2746.
Brianna C Bourne is licensed to practice in Colorado (license number CSW.09923877) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336482975.
Healthcare Provider's Profile
| Full Name | Brianna C Bourne |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 14 Years |
|---|
| Location | 1012 W Abriendo Ave, Pueblo, Colorado |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Brianna C Bourne graduated from medical school in 2012
NPI Data:
- NPI Number: 1336482975
- Provider Enumeration Date: 04/02/2013
- Last Update Date: 02/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 6204129588
- Enrollment ID: I20160725001036
Medical Identifiers
Medical identifiers for Brianna C Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336482975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000451 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09923877 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
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. Brianna C Bourne allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210113002826 |
|---|
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. Brianna C Bourne 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 |
|---|
Brianna C Bourne,
41 Montebello Rd, Suite 200,
Pueblo, CO 81001-1379
Ph: (719) 545-2746 | Brianna C Bourne,
1012 W Abriendo Ave,
Pueblo, CO 81004-1128
Ph: (719) 545-2746 |
Reviews and Comments