Michael Bourque, MD - Medicare Obstetrics & Gynecology in Hartford, CT

Michael Bourque, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Hartford, Connecticut. His current practice location is 19 Woodland Street, Suite 31, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 728-1212.

Michael Bourque is licensed to practice in Connecticut (license number 020526) 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 1760585855.

Contact Information

Michael Bourque, MD
19 Woodland Street, Suite 31,
Hartford, CT 06105
(860) 728-1212
(860) 724-5224

Map and Direction




Physician's Profile

Full NameMichael Bourque
GenderMale
SpecialityObstetrics & Gynecology
Location19 Woodland Street, Hartford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760585855
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 01/06/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0648324467
  • Enrollment ID: I20090813000311

Medical Identifiers

Medical identifiers for Michael Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760585855NPI-NPPES
001205269MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 020526 (Connecticut)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. Michael Bourque allows following entities to bill medicare on his behalf.
Entity NameTrinity Health Of New England Provider Network Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003882812
PECOS PAC ID: 0941113567
Enrollment ID: O20031110000651

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. Michael Bourque 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 AddressPractice Location Address
Michael Bourque, MD
19 Woodland Street, Suite 31,
Hartford, CT 06105

Ph: (860) 728-1212
Michael Bourque, MD
19 Woodland Street, Suite 31,
Hartford, CT 06105

Ph: (860) 728-1212

Reviews and Comments


Obstetrics & Gynecology Doctors in Hartford, CT

Ellen Robinson, MD
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Phone: 860-246-8568    Fax: 860-728-5076
Howard Andrew Shaw, MD, MBA
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Medicare: Not Enrolled in Medicare
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Phone: 860-714-7945    Fax: 860-714-8880
Mark Wolf, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1000 Asylum Ave, Suite 4319, Hartford, CT 06105
Phone: 860-714-4440    Fax: 860-714-8012
Behzad Satvat, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 136 Retreat Ave, Hartford, CT 06106
Phone: 860-547-0306    Fax: 860-525-9782
Felice Colliton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19 Woodland Street, Suite 31, Hartford, CT 06105
Phone: 860-728-1212    Fax: 860-724-5224
Elena Tunitsky-bitton, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 80 Seymour Street, Hartford Hospital Professional Services, Hartford, CT 06102
Phone: 860-545-4338    
Dr. Charles J. Ingardia, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 80 Seymour Street, Hartford Hospital Maternal-fetal Medicine, Hartford, CT 06102
Phone: 860-545-2884    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.