Julie Bourne, is a medicare enrolled "Massage Therapist" provider in Washington, Missouri. Her current practice location is
6244 Missouri Highway 100, Suite 230, Washington, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 239-8443.
Julie Bourne is licensed to practice in Missouri (license number 2023014392) 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 1508235417.
Healthcare Provider's Profile
| Full Name | Julie Bourne |
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| Gender | Female |
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| Speciality | Massage Therapist |
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| Location | 6244 Missouri Highway 100, Washington, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508235417
- Provider Enumeration Date: 09/21/2015
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597050823
- Enrollment ID: I20160825000063
Medical Identifiers
Medical identifiers for Julie Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508235417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 2015027078 (Missouri) | Secondary |
| 225700000X | Massage Therapist | 2023014392 (Missouri) | Primary |
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. Julie Bourne allows following entities to bill medicare on her behalf.
| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1407487366 PECOS PAC ID: 2163339722 Enrollment ID: O20200327001604 |
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| Provider Name | Fox Rehabilitation Services Pt Mo Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1750906095 PECOS PAC ID: 1254754948 Enrollment ID: O20200714002261 |
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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. Julie 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 Address | Practice Location Address |
Julie Bourne, 8624 Highway Yy, New Haven, MO 63068-2621 Ph: () - | Julie Bourne, 6244 Missouri Highway 100, Suite 230, Washington, MO 63090 Ph: (636) 239-8443 |
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