Dr Robert B Bourne, MD in Salt Lake City, UT

Dr Robert B Bourne, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Salt Lake City, Utah. He went to Saint Louis University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mountainstar Specialty Services Llc and his current practice location is 1160 E 3900 S Ste 5000, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 262-8486.

Dr Robert B Bourne is licensed to practice in Utah (license number 180189-1205) 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 1487646998.

Contact Information

	Dr Robert B Bourne, MD
	1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275
	(801) 262-8486
	(801) 261-7429

Map and Direction

Physician's Profile

Full Name	Dr Robert B Bourne
Gender	Male
Speciality	Internal Medicine
Experience	38 Years
Location	1160 E 3900 S Ste 5000, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. 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 Robert B Bourne attended and graduated from Saint Louis University School Of Medicine in 1986

NPI Data:

NPI Number: 1487646998
Provider Enumeration Date: 08/19/2005
Last Update Date: 02/09/2022

Medicare PECOS Information:

PECOS PAC ID: 3971536384
Enrollment ID: I20050915001035

Medical Identifiers

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

Identifier	Type	State	Issuer
1487646998	NPI	-	NPPES
09941	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0005X	Orthopaedic Surgery - Sports Medicine	180189-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mark's Hospital	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountainstar Specialty Services Llc	4688767551	30

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 Robert B Bourne allows following entities to bill medicare on his behalf.

Entity Name	Mountainstar Specialty Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265638357 PECOS PAC ID: 4688767551 Enrollment ID: O20070908000097

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 Robert B 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 Robert B Bourne, MD Po Box 100253, Atlanta, GA 30384-0253 Ph: () -	Dr Robert B Bourne, MD 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 Ph: (801) 262-8486

Reviews and Comments

Orthopaedic Surgery Doctors in Salt Lake City, UT

Cameron R. Guy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121
Benjamin Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 82 S 1100 E Ste 303, Salt Lake City, UT 84102 Phone: 801-533-2002 Fax: 801-323-9546
Chrystina James, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121
Thomas D. Bauman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011
Jaclyn Aleksandra Konopka, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121
Kayla L. Gates, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way, Salt Lake City, UT 84108 Phone: 801-587-5448
Jeffrey D Jackson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124 Phone: 801-261-7479 Fax: 801-261-7429

Dr Robert B Bourne, MD - Medicare Internal Medicine in Salt Lake City, UT