Adriana M Bourne, PA - Medicare Physician Assistant in Livonia, MI

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Adriana M Bourne, PA is a medicare enrolled "Physician Assistant" in Livonia, Michigan. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Urological Services, Pllc, Iha Olma Specialty 1 Llc and her current practice location is 14555 Levan Rd, Ste 311, Livonia, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 655-2692.

Adriana M Bourne is licensed to practice in Michigan (license number 5601008980) 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 1194288720.

Contact Information

Adriana M Bourne, PA
14555 Levan Rd, Ste 311,
Livonia, MI 48154
(734) 655-2692
(734) 655-4218

Map and Direction




Provider's Profile

Full NameAdriana M Bourne
GenderFemale
SpecialityPhysician Assistant
Experience8 Years
Location14555 Levan Rd, Livonia, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adriana M Bourne graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1194288720
  • Provider Enumeration Date: 04/10/2019
  • Last Update Date: 03/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6204179344
  • Enrollment ID: I20190614001551

Medical Identifiers

Medical identifiers for Adriana M Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194288720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601008980 (Michigan)Primary
363AS0400XPhysician Assistant - Surgical 5601008980 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mclaren FlintFlint, MIHospital
Henry Ford Genesys HospitalGrand blanc, MIHospital
Trinity Health Livonia HospitalLivonia, MIHospital
Hurley Medical CenterFlint, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urological Services, Pllc953720773313
Iha Olma Specialty 1 Llc690120668967

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. Adriana M Bourne allows following entities to bill medicare on her behalf.
Entity NameHurley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982630844
PECOS PAC ID: 2961308481
Enrollment ID: O20031208000375
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355
Entity NameHurley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881620748
PECOS PAC ID: 2961308481
Enrollment ID: O20041011000473
Entity NameUrological Services, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780631325
PECOS PAC ID: 9537207733
Enrollment ID: O20091109000458
Entity NameIha Olma Specialty 1 LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891371118
PECOS PAC ID: 6901206689
Enrollment ID: O20210617000949

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. Adriana M 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 AddressPractice Location Address
Adriana M Bourne, PA
24 Frank Lloyd Wright Drive, Suite J2000,
Ann Arbor, MI 48105

Ph: (734) 747-6766		Adriana M Bourne, PA
14555 Levan Rd, Ste 311,
Livonia, MI 48154

Ph: (734) 655-2692

Reviews and Comments


Physician Assistant Nurses in Livonia, MI

Ms. Autumn Nguyen, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 38935 Ann Arbor Rd, Credentialing/payer Enrollment Dept, Livonia, MI 48150
Phone: 734-632-0175    Fax: 734-805-0489
Ms. Andrea Nicole Yurcak, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 36475 Five Mile Rd, Livonia, MI 48154
Phone: 734-655-1230    
Jennifer Handy, PA-C
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Practice Location: 37595 7 Mile Rd, Livonia, MI 48152
Phone: 734-542-6100    
Barbara F. Wolk, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 9216 Middlebelt Rd, Livonia, MI 48150
Phone: 734-427-3500    Fax: 734-427-9234
Ms. Melissa Anne Rettmann, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 33215 7 Mile Rd, Livonia, MI 48152
Phone: 248-478-3200    
Lauren Elizabeth Raden, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 36700 Five Mile Rd, Livonia, MI 48154
Phone: 734-335-8601    Fax: 734-469-4237
Hilary Smith, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 20317 Farmington Rd, Livonia, MI 48152
Phone: 248-615-0777    Fax: 248-615-0779

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.