Dr Katherine Elizabeth Bourbeau-medinilla, MD in Colton, CA

Dr Katherine Elizabeth Bourbeau-medinilla, MD is a medicare enrolled "Internal Medicine" physician in Colton, California. Her current practice location is 400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 580-1000.

Dr Katherine Elizabeth Bourbeau-medinilla is licensed to practice in California (license number 178058) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790245116.

Contact Information

	Dr Katherine Elizabeth Bourbeau-medinilla, MD
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 580-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Katherine Elizabeth Bourbeau-medinilla
Gender	Female
Speciality	Internal Medicine
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790245116
Provider Enumeration Date: 03/21/2019
Last Update Date: 06/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6709203177
Enrollment ID: I20220705001289

Medical Identifiers

Medical identifiers for Dr Katherine Elizabeth Bourbeau-medinilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790245116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	PTL39 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	178058 (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 Katherine Elizabeth Bourbeau-medinilla allows following entities to bill medicare on her behalf.

Entity Name	Quantum Healthcare Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568490597 PECOS PAC ID: 5294647574 Enrollment ID: O20040924000422

Entity Name	Clinic Services Of California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394

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 Katherine Elizabeth Bourbeau-medinilla 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 Katherine Elizabeth Bourbeau-medinilla, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: () -	Dr Katherine Elizabeth Bourbeau-medinilla, MD 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000

Reviews and Comments

Internal Medicine Doctors in Colton, CA

Dr. Curtis Daniel Converse, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Gilbert Chen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6343
Dr. Roy Chi Wing Lung, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Neeka Shayan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 204, Colton, CA 92324 Phone: 909-580-6266
Dr. Molood Hadi, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Dr. Sunil Kumar Nowrangi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6275 Fax: 909-580-6275
Joji James, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-835-7496

Dr Katherine Elizabeth Bourbeau-medinilla, MD - Medicare Internal Medicine in Colton, CA