Liza P Bourne, MD in Dallas, TX - Medicare Emergency Medicine

Liza P Bourne, MD is a medicare enrolled "Emergency Medicine" physician in Dallas, Texas. Her current practice location is 3500 W Wheatland Rd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 947-7777.

Liza P Bourne is licensed to practice in Texas (license number M9925) 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 1811008410.

Contact Information

	Liza P Bourne, MD
	3500 W Wheatland Rd, Dallas, TX 75237-3460
	(214) 947-7777
	Not Available

Map and Direction

Physician's Profile

Full Name	Liza P Bourne
Gender	Female
Speciality	Emergency Medicine
Location	3500 W Wheatland Rd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811008410
Provider Enumeration Date: 08/31/2006
Last Update Date: 01/20/2025

Medicare PECOS Information:

PECOS PAC ID: 2466485362
Enrollment ID: I20081001000143

Medical Identifiers

Medical identifiers for Liza P Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811008410	NPI	-	NPPES
196498302	Medicaid	TX
196498301	Medicaid	TX
8AN321	Other	TX	BCBSTX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	M9925 (Texas)	Secondary
207P00000X	Emergency Medicine	M9925 (Texas)	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. Liza P Bourne allows following entities to bill medicare on her behalf.

Entity Name	Third Coast Emergency Physicians Southwest Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497793475 PECOS PAC ID: 6800794447 Enrollment ID: O20031222000126

Entity Name	Texas Physician Resources, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639413289 PECOS PAC ID: 7012161375 Enrollment ID: O20130214000159

Entity Name	Us Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619526902 PECOS PAC ID: 6002213329 Enrollment ID: O20210929000098

Entity Name	Emergency Medicine Services Of Tx Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124

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. Liza P 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
Liza P Bourne, MD Po Box 12740, Westminster, CA 92685-2740 Ph: (562) 809-3527	Liza P Bourne, MD 3500 W Wheatland Rd, Dallas, TX 75237-3460 Ph: (214) 947-7777

Reviews and Comments

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Liza P Bourne, MD - Medicare Emergency Medicine in Dallas, TX