Brenda Lynn Bourn, RD in Boise, ID - Medicare Registered Dietitian Or Nutrition Professional Provider

Brenda Lynn Bourn, RD is a medicare enrolled "Dietitian, Registered" provider in Boise, Idaho. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Idaho Nutrition Associates Llc and her current practice location is 1226 W River St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 331-1155.

Brenda Lynn Bourn is licensed to practice in Idaho (license number D-742) 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 1477728178.

Contact Information

	Brenda Lynn Bourn, RD
	1226 W River St, Boise, ID 83702-7049
	(208) 331-1155
	(208) 383-0190

Map and Direction

Healthcare Provider's Profile

Full Name	Brenda Lynn Bourn
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	26 Years
Location	1226 W River St, Boise, Idaho
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:

Brenda Lynn Bourn graduated from medical school in 1998

NPI Data:

NPI Number: 1477728178
Provider Enumeration Date: 04/24/2008
Last Update Date: 07/08/2015

Medicare PECOS Information:

PECOS PAC ID: 3274429238
Enrollment ID: I20160503001657

Medical Identifiers

Medical identifiers for Brenda Lynn Bourn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477728178	NPI	-	NPPES
1477728178	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	00864302 (Arizona)	Secondary
133V00000X	Dietitian, Registered	00777 (New Mexico)	Secondary
133V00000X	Dietitian, Registered	D-742 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Idaho Nutrition Associates Llc	8123399367	3

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. Brenda Lynn Bourn allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Clinic-treasure Valley Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

Provider Name	Idaho Nutrition Associates Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1568992105 PECOS PAC ID: 8123399367 Enrollment ID: O20170804003437

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. Brenda Lynn Bourn 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
Brenda Lynn Bourn, RD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222	Brenda Lynn Bourn, RD 1226 W River St, Boise, ID 83702-7049 Ph: (208) 331-1155

Reviews and Comments

Dietitian, Registered in Boise, ID

St Luke's Humphreys Diabetes Center Dietitian Medicare: Medicare Enrolled Practice Location: 1226 W River St, Boise, ID 83702 Phone: 208-331-1155
Sav-on Pharmacy Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-395-3963 Fax: 623-336-6363
Natalie Dawn Echanis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 960 S Broadway Ave Ste 505, Boise, ID 83706 Phone: 208-780-6254
Rachael Tatko, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13900 W Wainwright Dr, Boise, ID 83713 Phone: 208-433-9424
Daria T Pori, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1141
Ms. Megan Marie Mcguffey, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1910 University Dr, Boise, ID 83725 Phone: 208-426-1459
Rhonda L O'brien, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1414 W Franklin St, Boise, ID 83702 Phone: 208-342-2228 Fax: 208-343-0889

Brenda Lynn Bourn, RD - Medicare Dietitian in Boise, ID