Randolph Bourne, MD in Edmonds, WA - Medicare Obstetrics/gynecology

Randolph Bourne, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Edmonds, Washington. He went to Vanderbilt University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Swedish Health Services and his current practice location is 21616 76th Ave W Ste 205, Edmonds, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 640-4810.

Randolph Bourne is licensed to practice in Washington (license number MD00047603) 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 1881735736.

Contact Information

	Randolph Bourne, MD
	21616 76th Ave W Ste 205, Edmonds, WA 98026-7512
	(425) 640-4810
	(425) 640-4884

Map and Direction

Physician's Profile

Full Name	Randolph Bourne
Gender	Male
Speciality	Obstetrics/gynecology
Experience	21 Years
Location	21616 76th Ave W Ste 205, Edmonds, Washington
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:

Randolph Bourne attended and graduated from Vanderbilt University School Of Medicine in 2003

NPI Data:

NPI Number: 1881735736
Provider Enumeration Date: 02/12/2007
Last Update Date: 10/10/2007

Medicare PECOS Information:

PECOS PAC ID: 6800987058
Enrollment ID: I20070802000432

Medical Identifiers

Medical identifiers for Randolph Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881735736	NPI	-	NPPES
8483646	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD00047603 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Swedish Edmonds Hospital	Edmonds, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Swedish Health Services	0244138196	834

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. Randolph Bourne allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789

Entity Name	Swedish Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187

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. Randolph 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
Randolph Bourne, MD 21616 76th Ave W Ste 205, Edmonds, WA 98026-7512 Ph: (425) 640-4810	Randolph Bourne, MD 21616 76th Ave W Ste 205, Edmonds, WA 98026-7512 Ph: (425) 640-4810

Reviews and Comments

Obstetrics & Gynecology Doctors in Edmonds, WA

Carolyn Kay, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 21616 76th Ave W Ste 205, Edmonds, WA 98026 Phone: 425-640-4810 Fax: 425-640-4884
Vijaytha Rathnam, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21616 76th Ave W Ste Edmonds, Edmonds, WA 98026 Phone: 425-640-4810 Fax: 425-640-4884
Chad Baldo Thomas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21616 76th Ave W Ste 205, Edmonds, WA 98026 Phone: 425-640-4810 Fax: 425-640-4884
Roger D Shelton, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7315 212th St Sw, #204, Edmonds, WA 98026 Phone: 425-771-3311 Fax: 425-775-9844
Rona Ding, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 21616 76th Ave W Ste 205, Edmonds, WA 98026 Phone: 425-640-4810 Fax: 425-640-4884
Debora Ingersoll Sciscoe, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7315 212th St Sw, Suite 101, Edmonds, WA 98026 Phone: 425-775-9474 Fax: 425-670-3554
Anna Marie Haring, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21616 76th Ave W Ste 205, Edmonds, WA 98026 Phone: 425-640-4810 Fax: 425-640-4884

Randolph Bourne, MD - Medicare Obstetrics/gynecology in Edmonds, WA