| Susan Walsh Bourgeois, | |
|
2514 K St Nw Apt 17, Washington, DC 20037-2011 | |
| (407) 575-1965 | |
| Not Available |
| Full Name | Susan Walsh Bourgeois |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 2514 K St Nw Apt 17, Washington, District Of Columbia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518630623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN1052089 (District Of Columbia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1474 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093756629 PECOS PAC ID: 4486567104 Enrollment ID: O20040315000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Walsh Bourgeois, 2514 K St Nw Apt 17, Washington, DC 20037-2011 Ph: (407) 575-1965 | Susan Walsh Bourgeois, 2514 K St Nw Apt 17, Washington, DC 20037-2011 Ph: (407) 575-1965 |
Joanna Esther Rivera-santana, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2333 Ontario Rd Nw, Washington, DC 20009 Phone: 202-483-8196 Fax: 202-332-0541 | |
Fidelia M. Ngonda, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7600 Georgia Ave Nw, Suite 323, Washington, DC 20012 Phone: 202-723-3060 Fax: 202-723-3065 | |
Mrs. Mary Oluwaseyi Akinbo, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1010 Wisconsin Ave N.w., Suite 300, Washington, DC 20007 Phone: 202-289-1201 Fax: 202-587-1396 | |
Theophilus Tako, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7600 Georgia Ave Nw, Washington, DC 20012 Phone: 202-723-3060 Fax: 202-723-3065 | |
Mauryn Olodun, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6120 Kansas Ave Ne, Washington, DC 20011 Phone: 202-722-7776 | |
Hannah Tarver, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7600 Georgia Ave Nw Ste 323, Washington, DC 20012 Phone: 202-723-3060 Fax: 202-723-3065 | |
Sara Gould, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1508 E Capitol St Ne, Washington, DC 20003 Phone: 202-371-9393 |