Dr Tina Bourgoin, DMD is a medicare enrolled "Dentist" provider in Machias, Maine. Her current practice location is
271 Main St, Machias, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 255-8601.
Dr Tina Bourgoin is licensed to practice in Maine (license number 4383) 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 1942616198.
Healthcare Provider's Profile
| Full Name | Dr Tina Bourgoin |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 271 Main St, Machias, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942616198
- Provider Enumeration Date: 07/09/2014
- Last Update Date: 07/09/2014
Medicare PECOS Information:
- PECOS PAC ID: 6507163680
- Enrollment ID: I20230522001004
Medical Identifiers
Medical identifiers for Dr Tina Bourgoin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942616198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 4383 (Maine) | 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. Dr Tina Bourgoin allows following entities to bill medicare on her behalf.
| Entity Name | Indian Township Tribal Government |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205952140
PECOS PAC ID: 6103914445
Enrollment ID: O20211124000165 |
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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. Dr Tina Bourgoin 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 |
|---|
Dr Tina Bourgoin, DMD
271 Main St,
Machias, ME 04654-3606
Ph: (207) 255-8601 | Dr Tina Bourgoin, DMD
271 Main St,
Machias, ME 04654-3606
Ph: (207) 255-8601 |
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