Mrs Lydia Cornell Bourke, NP in Rochester Hills, MI

Mrs Lydia Cornell Bourke, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Rochester Hills, Michigan. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bishr Ujayli Md Pc and her current practice location is 2494 S Rochester Rd, Rochester Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 299-9850.

Mrs Lydia Cornell Bourke is licensed to practice in Michigan (license number 4704215985) 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 1578688560.

Contact Information

	Mrs Lydia Cornell Bourke, NP
	2494 S Rochester Rd, Rochester Hills, MI 48307-3817
	(248) 299-9850
	(248) 299-9860

Map and Direction

Provider's Profile

Full Name	Mrs Lydia Cornell Bourke
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	2494 S Rochester Rd, Rochester Hills, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Lydia Cornell Bourke graduated from nursing school in 2002

NPI Data:

NPI Number: 1578688560
Provider Enumeration Date: 03/20/2007
Last Update Date: 08/28/2007

Medicare PECOS Information:

PECOS PAC ID: 5092753996
Enrollment ID: I20050421000206

Medical Identifiers

Medical identifiers for Mrs Lydia Cornell Bourke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578688560	NPI	-	NPPES
5008670700	Other	MI	BCBS INDIVIDUAL #
4704215985	Other	MI	NURSE LICENSE
5187136 10	Medicaid	MI
4704215985	Other	MI	NURSE PRACTITIONER LICEN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	4704215985 (Michigan)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	4704215985 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital - Grosse Pointe	Grosse pointe, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bishr Ujayli Md Pc	0042274847	5

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. Mrs Lydia Cornell Bourke allows following entities to bill medicare on her behalf.

Entity Name	Bishr Ujayli Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073628566 PECOS PAC ID: 0042274847 Enrollment ID: O20041111001050

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 Lydia Cornell 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
Mrs Lydia Cornell Bourke, NP 472 Lincoln Rd, Grosse Pointe, MI 48230-1609 Ph: (248) 299-9850	Mrs Lydia Cornell Bourke, NP 2494 S Rochester Rd, Rochester Hills, MI 48307-3817 Ph: (248) 299-9850

Reviews and Comments

Nurse Practitioner Nurses in Rochester Hills, MI

Mrs. Jennifer Marie Anderson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2863 Corinthia Dr, Rochester Hills, MI 48309 Phone: 586-244-9359
Mimoza Zaka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 289 Essex Dr, Rochester Hills, MI 48307 Phone: 248-247-6811
Jahnvi Patel, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Monterey Ln, Rochester Hills, MI 48307 Phone: 248-835-4628
Leeanne Attiq, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2863 S Rochester Rd,, Rochester Hills, MI 48307 Phone: 947-217-3600
Dr. Christina Knar Ritter, CPNP, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2370 Walton Blvd, Suite 3, Rochester Hills, MI 48309 Phone: 248-651-8197
Arianne Janel Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1555 South Blvd E, Rochester Hills, MI 48307 Phone: 248-289-6643
Nicole Najor, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 South Blvd E Ste 300, Rochester Hills, MI 48307 Phone: 248-844-9710

Mrs Lydia Cornell Bourke, NP - Medicare Nurse Practitioner in Rochester Hills, MI