Meredith Bourdeau, PA-C, ATC - Medicare Physician Assistant in Bronxville, NY

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Meredith Bourdeau, PA-C, ATC is a medicare enrolled "Physician Assistant" in Bronxville, New York. Her current practice location is 55 Palmer Ave, Bronxville, New York. You can reach out to her office (for appointments etc.) via phone at (802) 272-6078.

Meredith Bourdeau is licensed to practice in Connecticut (license number 4118) 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 1962818013.

Contact Information

Meredith Bourdeau, PA-C, ATC
55 Palmer Ave,
Bronxville, NY 10708-3403
(802) 272-6078
Not Available

Map and Direction




Provider's Profile

Full NameMeredith Bourdeau
GenderFemale
SpecialityPhysician Assistant
Location55 Palmer Ave, Bronxville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962818013
  • Provider Enumeration Date: 07/09/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0749530806
  • Enrollment ID: I20180911001916

Medical Identifiers

Medical identifiers for Meredith Bourdeau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962818013NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 4118 (Connecticut)Primary
363A00000XPhysician Assistant (New York)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer 002025-1 (New York)Secondary

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. Meredith Bourdeau allows following entities to bill medicare on her behalf.
Entity NameStamford Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154633980
PECOS PAC ID: 6901099746
Enrollment ID: O20101025000743
Entity NameHartford Healthcare Medical Group Specialists PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Meredith Bourdeau 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
Meredith Bourdeau, PA-C, ATC
305 Columbus Ave,
West Harrison, NY 10604-2100

Ph: (802) 272-6078		Meredith Bourdeau, PA-C, ATC
55 Palmer Ave,
Bronxville, NY 10708-3403

Ph: (802) 272-6078

Reviews and Comments


Physician Assistant Nurses in Bronxville, NY

Evan Redmon Williams, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 55 Palmer Ave, Bronxville, NY 10708
Phone: 914-787-1000    
Chevonesse Seante Samoya Chushnie,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 55 Palmer Ave, Bronxville, NY 10708
Phone: 914-787-1000    
Mrs. Aubri S Veneruso, MMS, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 55 Palmer Avenue, Bronxville, NY 10708
Phone: 914-787-3100    Fax: 914-787-3110
Kimberly Ray Garvey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 55 Palmer Ave, Bronxville, NY 10708
Phone: 914-787-1000    
Nicholas Russo, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 13 Birch Brook Rd, Bronxville, NY 10708
Phone: 914-483-9206    
Gavin M Pirell, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 55 Palmer Ave, Bronxville, NY 10708
Phone: 914-787-1000    
Meagan Rieff, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 55 Palmer Ave, Bronxville, NY 10708
Phone: 917-787-5000    

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.