Dr Daniele Michelle Bourget, MD | |
3401 N Broad St, Philadelphia, PA 19140-5103 | |
(215) 707-5030 | |
(215) 707-3494 |
Full Name | Dr Daniele Michelle Bourget |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 13 Years |
Location | 3401 N Broad St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821385881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 95676 (Georgia) | Secondary |
207P00000X | Emergency Medicine | MD450490 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Bortolazzo Group, Llc | 3476554320 | 72 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Medical Care Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniele Michelle Bourget, MD 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-5030 | Dr Daniele Michelle Bourget, MD 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-5030 |
Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963 | |
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502 | |
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Ashley Bonsu, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Jennifer Jie Xu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-5161 | |
Dr. Alan Barte, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-7890 |