Dr Leonard Jb Bourgeois Sr, MD is a medicare enrolled "Family Medicine" physician in Jeanerette, Louisiana. His current practice location is
1409 Church St, Jeanerette, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 276-6018.
Dr Leonard Jb Bourgeois Sr is licensed to practice in Louisiana (license number 017806) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053413583.
Physician's Profile
| Full Name | Dr Leonard Jb Bourgeois Sr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1409 Church St, Jeanerette, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053413583
- Provider Enumeration Date: 09/04/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2769563279
- Enrollment ID: I20080122000533
Medical Identifiers
Medical identifiers for Dr Leonard Jb Bourgeois Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053413583 | NPI | - | NPPES |
| 1365831 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 017806 (Louisiana) | 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 Leonard Jb Bourgeois Sr allows following entities to bill medicare on his behalf.
| Entity Name | Lafayette Health Ventures Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417986092 PECOS PAC ID: 9335043074 Enrollment ID: O20041105000263 |
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| Entity Name | Bourgeois Family Medicine Clinic A Professional Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710169479 PECOS PAC ID: 2668553173 Enrollment ID: O20080122000537 |
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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 Leonard Jb Bourgeois Sr 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 Leonard Jb Bourgeois Sr, MD Po Box 910, Jeanerette, LA 70544-0910 Ph: () - | Dr Leonard Jb Bourgeois Sr, MD 1409 Church St, Jeanerette, LA 70544-4407 Ph: (337) 276-6018 |
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