Kimberly Brooke Rivera Bourke, PA-C in Lancaster, PA

Kimberly Brooke Rivera Bourke, PA-C is a medicare enrolled "Physician Assistant" in Lancaster, Pennsylvania. Her current practice location is 100 N Queen St, Ste 200, Lancaster, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 544-7500.

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
	100 N Queen St, Ste 200, Lancaster, PA 17603-3550
	(717) 544-7500
	(717) 735-7825

Map and Direction

Provider's Profile

Full Name	Kimberly Brooke Rivera Bourke
Gender	Female
Speciality	Physician Assistant
Location	100 N Queen St, Lancaster, Pennsylvania
Accepts Medicare Assignments	Medicare 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: 10/12/2020

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.

Identifier	Type	State	Issuer
1992129142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	MA057178 (Pennsylvania)	Primary

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 Address	Practice Location Address
Kimberly Brooke Rivera Bourke, PA-C 100 N Queen St, Ste 200, Lancaster, PA 17603-3550 Ph: (717) 544-7500	Kimberly Brooke Rivera Bourke, PA-C 100 N Queen St, Ste 200, Lancaster, PA 17603-3550 Ph: (717) 544-7500

Reviews and Comments

Physician Assistant Nurses in Lancaster, PA

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