Mr Todd Lee Bourquin, PHYSICAL THERAPIST in Irving, TX - Medicare Physical Therapist Provider

Mr Todd Lee Bourquin, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Irving, Texas. His current practice location is 4501 N O'connor Rd, Ste 1108, Irving, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 909-0987.

Mr Todd Lee Bourquin is licensed to practice in Oklahoma (license number CP001166T) 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 1225036809.

Contact Information

	Mr Todd Lee Bourquin, PHYSICAL THERAPIST
	4501 N O'connor Rd, Ste 1108, Irving, TX 75062
	(817) 909-0987
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Todd Lee Bourquin
Gender	Male
Speciality	Physical Therapist
Location	4501 N O'connor Rd, Irving, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225036809
Provider Enumeration Date: 07/08/2005
Last Update Date: 05/27/2021

Medicare PECOS Information:

PECOS PAC ID: 1153629886
Enrollment ID: I20160413002269

Medical Identifiers

Medical identifiers for Mr Todd Lee Bourquin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225036809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	CP001166T (Oklahoma)	Primary
225100000X	Physical Therapist	1152227 (Texas)	Secondary
225100000X	Physical Therapist	3267 (Arizona)	Secondary

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. Mr Todd Lee Bourquin allows following entities to bill medicare on his behalf.

Provider Name	360 Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932430949 PECOS PAC ID: 1355237645 Enrollment ID: O20040224000822

Provider Name	Anderson & Bates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003098245 PECOS PAC ID: 5193749976 Enrollment ID: O20060119000413

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. Mr Todd Lee Bourquin 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
Mr Todd Lee Bourquin, PHYSICAL THERAPIST 4501 N O'connor Rd, #1108, Irving, TX 75062 Ph: (817) 909-0987	Mr Todd Lee Bourquin, PHYSICAL THERAPIST 4501 N O'connor Rd, Ste 1108, Irving, TX 75062 Ph: (817) 909-0987

Reviews and Comments

Physical Therapist in Irving, TX

Dr. Ebelechukwu Chikodili Nduka, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7701 Las Colinas Rdg Ste 110, Irving, TX 75063 Phone: 214-574-7848
Toni Bernett Lindsey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6750 N Macarthur Blvd, Irving, TX 75039 Phone: 972-969-2140
De'kayta Alex, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8222 N Belt Line Rd Ste 175, Irving, TX 75063 Phone: 972-241-9334
Seth Manly, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 N Macarthur Blvd, Suite 550, Irving, TX 75061 Phone: 972-579-4398
Sim Souls Institute 1 Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9901 Valley Ranch Pkwy E Ste 2030, Irving, TX 75063 Phone: 469-269-0515
Christy Coppolo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5001 Statesman Dr, Irving, TX 75063 Phone: 800-788-4815
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 N Macarthur Blvd, Irving, TX 75061 Phone: 972-887-3318 Fax: 972-887-3527

Mr Todd Lee Bourquin, PHYSICAL THERAPIST - Medicare Physical Therapist in Irving, TX