Dr Jonathan Bourne, MD in Mammoth Lakes, CA

Dr Jonathan Bourne, MD is a medicare enrolled "Anesthesiology" physician in Mammoth Lakes, California. His current practice location is 85 Sierra Park Rd, Mammoth Lakes, California. You can reach out to his office (for appointments etc.) via phone at (760) 924-4078.

Dr Jonathan Bourne is licensed to practice in California (license number G48548) 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 1013062660.

Contact Information

	Dr Jonathan Bourne, MD
	85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660
	(760) 924-4078
	(760) 924-4058

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Bourne
Gender	Male
Speciality	Anesthesiology
Location	85 Sierra Park Rd, Mammoth Lakes, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013062660
Provider Enumeration Date: 01/24/2007
Last Update Date: 07/23/2010

Medicare PECOS Information:

PECOS PAC ID: 5092800904
Enrollment ID: I20071005000652

Medical Identifiers

Medical identifiers for Dr Jonathan Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013062660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	G48548 (California)	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. Dr Jonathan Bourne allows following entities to bill medicare on his behalf.

Entity Name	Southern Mono Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160

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. Dr Jonathan Bourne 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
Dr Jonathan Bourne, MD Po Box 660, 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 Ph: (760) 924-4078	Dr Jonathan Bourne, MD 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 Ph: (760) 924-4078

Reviews and Comments

Anesthesiology Doctors in Mammoth Lakes, CA

Dr. Eric Bourne, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-3311
Dr. Carolyn Marie Saba, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-3311
Kurt S Smith, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd., Mammoth Lakes, CA 93546 Phone: 760-934-3311

Dr Jonathan Bourne, MD - Medicare Anesthesiology in Mammoth Lakes, CA