Blake Michael Bourgoyne, MD in Baton Rouge, LA - Medicare Psychiatry & Neurology

Blake Michael Bourgoyne, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Baton Rouge, Louisiana. His current practice location is 3401 North Blvd Ste 100, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 381-2621.

Blake Michael Bourgoyne is licensed to practice in Louisiana (license number 328464) 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 1306306717.

Contact Information

	Blake Michael Bourgoyne, MD
	3401 North Blvd Ste 100, Baton Rouge, LA 70806-3743
	(225) 381-2621
	(225) 387-7829

Map and Direction

Physician's Profile

Full Name	Blake Michael Bourgoyne
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	3401 North Blvd Ste 100, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306306717
Provider Enumeration Date: 03/21/2019
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8426414848
Enrollment ID: I20230509003014

Medical Identifiers

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

Identifier	Type	State	Issuer
1306306717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	328464 (Louisiana)	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. Blake Michael Bourgoyne allows following entities to bill medicare on his behalf.

Entity Name	Baton Rouge Clinic, A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871546911 PECOS PAC ID: 1254317001 Enrollment ID: O20040624000911

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. Blake Michael Bourgoyne 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
Blake Michael Bourgoyne, MD 7373 Perkins Rd, Baton Rouge, LA 70808-4373 Ph: (225) 246-9790	Blake Michael Bourgoyne, MD 3401 North Blvd Ste 100, Baton Rouge, LA 70806-3743 Ph: (225) 381-2621

Reviews and Comments

Psychiatry & Neurology Doctors in Baton Rouge, LA

Dr. Donna Brian Fargason, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9311a Bluebonnet Blvd, Baton Rouge, LA 70810 Phone: 225-769-5551 Fax: 225-769-5583
Kishore M Gadde, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6400 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-763-2552
Joseph Anthony Grizzaffi Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5131 Odonovan Dr, Ste 300, Baton Rouge, LA 70808 Phone: 225-374-0400 Fax: 225-374-0430
Abdul Baset Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9001 Summa Ave, Baton Rouge, LA 70809 Phone: 225-761-5200 Fax: 225-761-5654
Gerard Dynes, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-4044
Dr. Kari Akili Jones, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7521 Kings Hill Ave, Baton Rouge, LA 70810 Phone: 225-267-7141
Dr. Ashok Reddy Polu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-765-6565

Blake Michael Bourgoyne, MD - Medicare Psychiatry & Neurology in Baton Rouge, LA