Kimberly Brooke Rivera Bourke, PA-C - Medicare Physician Assistant in Elizabethtown, PA

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Kimberly Brooke Rivera Bourke, PA-C is a medicare enrolled "Physician Assistant" in Elizabethtown, Pennsylvania. Her current practice location is 530 E Cedar St, Elizabethtown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 588-1059.

Kimberly Brooke Rivera Bourke is licensed to practice in Pennsylvania (license number MA057178) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992129142.

Contact Information

Kimberly Brooke Rivera Bourke, PA-C
530 E Cedar St,
Elizabethtown, PA 17022-2516
(717) 588-1059
(717) 689-1246

Map and Direction




Provider's Profile

Full NameKimberly Brooke Rivera Bourke
GenderFemale
SpecialityPhysician Assistant
Location530 E Cedar St, Elizabethtown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992129142
  • Provider Enumeration Date: 02/08/2014
  • Last Update Date: 02/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9436372653
  • Enrollment ID: I20181120002942

Medical Identifiers

Medical identifiers for Kimberly Brooke Rivera Bourke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992129142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant MA057178 (Pennsylvania)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. Kimberly Brooke Rivera Bourke allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298

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. Kimberly Brooke Rivera Bourke 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
Kimberly Brooke Rivera Bourke, PA-C
530 E Cedar St,
Elizabethtown, PA 17022-2516

Ph: (717) 588-1059		Kimberly Brooke Rivera Bourke, PA-C
530 E Cedar St,
Elizabethtown, PA 17022-2516

Ph: (717) 588-1059

Reviews and Comments


Physician Assistant Nurses in Elizabethtown, PA

Marlene C Faus, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 418 Cloverleaf Rd, Elizabethtown, PA 17022
Phone: 717-653-1467    Fax: 717-653-1001
Mary Gergis, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 530 E. Cedar Street, Elizabethtown, PA 17022
Phone: 717-689-1245    Fax: 717-689-1246
Nikki A Devito, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Continental Dr, Elizabethtown, PA 17022
Phone: 717-361-0666    Fax: 717-361-0202
Jennifer P Kline, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 418 Cloverleaf Rd, Elizabethtown, PA 17022
Phone: 717-653-1467    Fax: 717-653-1001
Carolyn Bachman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 432 Cloverleaf Rd, Elizabethtown, PA 17022
Phone: 717-544-6350    Fax: 717-544-6353
Lindsey Taylor Gregan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 432 Cloverleaf Rd, Elizabethtown, PA 17022
Phone: 717-544-6350    
Rolanda Smoker, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4748 E Harrisburg Pike, Elizabethtown, PA 17022
Phone: 717-367-9797    

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.