Erica Lynne Bourdeau, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Staunton, Virginia. Her current practice location is
25 Myers Corner Dr, Staunton, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 688-2646.
Erica Lynne Bourdeau is licensed to practice in Virginia (license number 0024175290) 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 1841420627.
Physician's Profile
Full Name | Erica Lynne Bourdeau |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 25 Myers Corner Dr, Staunton, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841420627
- Provider Enumeration Date: 07/15/2009
- Last Update Date: 02/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032301106
- Enrollment ID: I20240322000700
Medical Identifiers
Medical identifiers for Erica Lynne Bourdeau such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841420627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 420938 (New York) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | 420938 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024175290 (Virginia) | 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. Erica Lynne Bourdeau allows following entities to bill medicare on her behalf.
Entity Name | Comprehensive Health Systems,plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649376450 PECOS PAC ID: 2466359328 Enrollment ID: O20031217001072 |
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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. Erica Lynne Bourdeau 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 |
Erica Lynne Bourdeau, NP Po Box 1138, Fishersville, VA 22939-1138 Ph: (540) 688-2646 | Erica Lynne Bourdeau, NP 25 Myers Corner Dr, Staunton, VA 24401-6342 Ph: (540) 688-2646 |
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