Dr Paul Robert Bourguignon, MD - Medicare General Surgery in New London, CT

Dr Paul Robert Bourguignon, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in New London, Connecticut. He went to University Of California, Davis School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Northeast Medical Group Inc, Northeast Medical Group Inc and his current practice location is 50 Fair Harbour Pl, Suite 2c, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 443-3147.

Dr Paul Robert Bourguignon is licensed to practice in Connecticut (license number 038703) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154372175.

Contact Information

Dr Paul Robert Bourguignon, MD
50 Fair Harbour Pl, Suite 2c,
New London, CT 06320-4731
(860) 443-3147
(860) 443-0087

Map and Direction




Physician's Profile

Full NameDr Paul Robert Bourguignon
GenderMale
SpecialityGeneral Surgery
Experience30 Years
Location50 Fair Harbour Pl, New London, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Paul Robert Bourguignon attended and graduated from University Of California, Davis School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1154372175
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 05/08/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 7911972096
  • Enrollment ID: I20040901000373

Medical Identifiers

Medical identifiers for Dr Paul Robert Bourguignon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154372175NPI-NPPES
2V8005OtherHEALTHNET
P3418275OtherCTOXFORD
001387035MedicaidCT
038703OtherCTCONNECTICARE
010038703CT03OtherCTANTHEM
9636760OtherCTCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 038703 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Westerly HospitalWesterly, RIHospital
Lawrence & Memorial HospitalNew london, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Medical Group Inc12542338361244
Northeast Medical Group Inc12542338361244

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 Paul Robert Bourguignon allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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 Paul Robert Bourguignon 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 AddressPractice Location Address
Dr Paul Robert Bourguignon, MD
50 Fair Harbour Pl, Suite 2c,
New London, CT 06320-4731

Ph: (860) 443-3147
Dr Paul Robert Bourguignon, MD
50 Fair Harbour Pl, Suite 2c,
New London, CT 06320-4731

Ph: (860) 443-3147

Reviews and Comments


Surgery Doctors in New London, CT

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Uwe M Fischer, M.D.
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Justin Gauthier, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 365 Montauk Ave, New London, CT 06320
Phone: 860-442-0711    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.