Dr Kelsey Bourm, MD in San Diego, CA - Medicare Diagnostic Radiology

Dr Kelsey Bourm, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Diego, California. He went to University Of Oklahoma College Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Hutchinson Regional Medical Center Inc, Wichita Radiological Group Prof Assoc and his current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 543-2218.

Dr Kelsey Bourm is licensed to practice in California (license number A153296) 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 1942646443.

Contact Information

	Dr Kelsey Bourm, MD
	200 W Arbor Dr, San Diego, CA 92103
	(619) 543-2218
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelsey Bourm
Gender	Male
Speciality	Diagnostic Radiology
Experience	12 Years
Location	200 W Arbor Dr, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelsey Bourm attended and graduated from University Of Oklahoma College Of Medicine in 2013

NPI Data:

NPI Number: 1942646443
Provider Enumeration Date: 05/12/2013
Last Update Date: 10/19/2018

Medicare PECOS Information:

PECOS PAC ID: 1759522089
Enrollment ID: I20190611003826

Medical Identifiers

Medical identifiers for Dr Kelsey Bourm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942646443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A153296 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wesley Medical Center	Wichita, KS	Hospital
Hutchinson Regional Medical Center Inc	Hutchinson, KS	Hospital
William Newton Hospital	Winfield, KS	Hospital
Coffey County Hospital	Burlington, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hutchinson Regional Medical Center Inc	0648181198	122
Wichita Radiological Group Prof Assoc	6507762960	26

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 Kelsey Bourm allows following entities to bill medicare on his behalf.

Entity Name	Wichita Radiological Group Prof Assoc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144256447 PECOS PAC ID: 6507762960 Enrollment ID: O20031208001045

Entity Name	Hutchinson Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972605285 PECOS PAC ID: 0648181198 Enrollment ID: O20040119000578

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 Kelsey Bourm 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 Kelsey Bourm, MD Po Box 232410, San Diego, CA 92193-2410 Ph: () -	Dr Kelsey Bourm, MD 200 W Arbor Dr, San Diego, CA 92103 Ph: (619) 543-2218

Reviews and Comments

Radiology Doctors in San Diego, CA

Kripa Anil Guram, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Dr. Lejla Aganovic, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Dr. Zachary G. Rattner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 995 Gateway Center Way, Suite 207, San Diego, CA 92102 Phone: 619-263-9729 Fax: 619-263-9730
Dr. Soheil Niku, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12580 Carmel Creek Rd, #52, San Diego, CA 92130 Phone: 619-322-0341 Fax: 858-509-0341
Dr. Frank B. Hamlett, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 319 Laurel St, San Diego, CA 92101 Phone: 619-234-3918 Fax: 619-234-5342
Dr. Aaron Mathew Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, San Diego, CA 92123 Phone: 858-939-3600
Dr. Paul S Schulman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4352 Trias St, San Diego, CA 92103 Phone: 619-997-8881 Fax: 619-795-9980

Dr Kelsey Bourm, MD - Medicare Diagnostic Radiology in San Diego, CA