Mrs Lori K Bourne, PA - Medicare Physician Assistant in Melbourne, FL

Mrs Lori K Bourne, PA is a medicare enrolled "Physician Assistant - Medical" in Melbourne, Florida. Her current practice location is 1350 Hickory St, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 434-1771.

Mrs Lori K Bourne is licensed to practice in Florida (license number PA2514) 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 1841449766.

Contact Information

Mrs Lori K Bourne, PA
1350 Hickory St,
Melbourne, FL 32901-3224
(321) 434-1771
(321) 434-1775

Map and Direction




Provider's Profile

Full NameMrs Lori K Bourne
GenderFemale
SpecialityPhysician Assistant - Medical
Location1350 Hickory St, Melbourne, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841449766
  • Provider Enumeration Date: 09/16/2008
  • Last Update Date: 08/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9537159165
  • Enrollment ID: I20040515000422

Medical Identifiers

Medical identifiers for Mrs Lori K Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841449766NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA2514 (Florida)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. Mrs Lori K 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
Mrs Lori K Bourne, PA
1223 Gateway Dr,
Melbourne, FL 32901-2607

Ph: (321) 434-1771
Mrs Lori K Bourne, PA
1350 Hickory St,
Melbourne, FL 32901-3224

Ph: (321) 434-1771

Reviews and Comments


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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.

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