Dr Jeanette Lillian Bourne, MD is a medicare enrolled "General Practice" physician in Kenansville, North Carolina. She went to University Of Massachusetts Medical School and graduated in 1987 and has 38 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Pain Clinic Of North Carolina Pa and her current practice location is
340 Seminary St, Kenansville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 296-2130.
Dr Jeanette Lillian Bourne is licensed to practice in North Carolina (license number 9300658) 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 1831241272.
Physician's Profile
| Full Name | Dr Jeanette Lillian Bourne |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 38 Years |
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| Location | 340 Seminary St, Kenansville, North Carolina |
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| 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:
- Dr Jeanette Lillian Bourne attended and graduated from University Of Massachusetts Medical School in 1987
NPI Data:
- NPI Number: 1831241272
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 08/29/2011
Medicare PECOS Information:
- PECOS PAC ID: 6305033168
- Enrollment ID: I20101207000371
Medical Identifiers
Medical identifiers for Dr Jeanette Lillian Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831241272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | 9300658 (North Carolina) | Secondary |
| 208D00000X | General Practice | 9300658 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Pain Clinic Of North Carolina Pa | 6406110733 | 4 |
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 Jeanette Lillian Bourne allows following entities to bill medicare on her behalf.
| Entity Name | Promed Healthcare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770615114 PECOS PAC ID: 0749366607 Enrollment ID: O20080318000789 |
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| Entity Name | Pain Clinic Of North Carolina Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538682216 PECOS PAC ID: 6406110733 Enrollment ID: O20180514000855 |
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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 Jeanette Lillian 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 |
Dr Jeanette Lillian Bourne, MD 2728 Evans Dairy Rd, Fayetteville, NC 28312-7194 Ph: (919) 827-7766 | Dr Jeanette Lillian Bourne, MD 340 Seminary St, Kenansville, NC 28349-8978 Ph: (910) 296-2130 |
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