Michael Bourassa, DPT in Jacksonville, FL - Medicare Physical Therapist Provider

Michael Bourassa, DPT is a medicare enrolled "Physical Therapist" provider in Jacksonville, Florida. His current practice location is 310 Dundas Dr, Suite 8, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 757-1782.

Michael Bourassa is licensed to practice in Florida (license number 27105) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013214816.

Contact Information

	Michael Bourassa, DPT
	310 Dundas Dr, Suite 8, Jacksonville, FL 32218-5588
	(904) 757-1782
	(904) 757-9808

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Bourassa
Gender	Male
Speciality	Physical Therapist
Location	310 Dundas Dr, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013214816
Provider Enumeration Date: 02/15/2011
Last Update Date: 02/09/2012

Medicare PECOS Information:

PECOS PAC ID: 9436332129
Enrollment ID: I20171115001575

Medical Identifiers

Medical identifiers for Michael Bourassa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013214816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P13029 (North Carolina)	Secondary
225100000X	Physical Therapist	27105 (Florida)	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. Michael Bourassa allows following entities to bill medicare on his behalf.

Provider Name	Medical Education Assistance Corporation University Physicians Practic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795

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. Michael Bourassa 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
Michael Bourassa, DPT 3901 University Blvd S, Jacksonville, FL 32216-4312 Ph: (904) 757-1782	Michael Bourassa, DPT 310 Dundas Dr, Suite 8, Jacksonville, FL 32218-5588 Ph: (904) 757-1782

Reviews and Comments

Physical Therapist in Jacksonville, FL

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Michael Bourassa, DPT - Medicare Physical Therapist in Jacksonville, FL