Marissa Bournique, in Port St Lucie, FL - Medicare Gastroenterology

Marissa Bournique, is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Port St Lucie, Florida. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2015 and has 9 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Anmed Health and her current practice location is 1700 Se Hillmoor Dr, Port St Lucie, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 335-9600.

Marissa Bournique is licensed to practice in Florida (license number OS15441) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417332131.

Contact Information

	Marissa Bournique,
	1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539
	(772) 335-9600
	Not Available

Map and Direction

Physician's Profile

Full Name	Marissa Bournique
Gender	Female
Speciality	Gastroenterology
Experience	9 Years
Location	1700 Se Hillmoor Dr, Port St Lucie, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marissa Bournique attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2015

NPI Data:

NPI Number: 1417332131
Provider Enumeration Date: 07/23/2015
Last Update Date: 04/08/2021

Medicare PECOS Information:

PECOS PAC ID: 8325440290
Enrollment ID: I20240321001312

Medical Identifiers

Medical identifiers for Marissa Bournique such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417332131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	UO4447 (Florida)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	OS15441 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Anmed Health	Anderson, SC	Hospital
Adventhealth Daytona Beach	Daytona beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anmed Health	1951215243	279

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. Marissa Bournique allows following entities to bill medicare on her behalf.

Entity Name	Anmed Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639102270 PECOS PAC ID: 1951215243 Enrollment ID: O20040130000302

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. Marissa Bournique 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
Marissa Bournique, 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 Ph: (772) 335-9600	Marissa Bournique, 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 Ph: (772) 335-9600

Reviews and Comments

Internal Medicine Doctors in Port St Lucie, FL

Dr. Theodore G Pettle, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1700 Se Hillmoor Dr, Port St Lucie, FL 34952 Phone: 772-335-9600
Alan Steven Collin, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1871 Se Tiffany Ave, Suite 100, Port St Lucie, FL 34952 Phone: 772-335-5666 Fax: 772-335-4826
Dr. Gerald John Rutecki, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 473 Nw Blue Lake Dr, Port St Lucie, FL 34986 Phone: 772-336-8039
Dr. Dana D Dameron Jr., D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 475 Nw Prima Vista Blvd, Port St Lucie, FL 34983 Phone: 772-800-3037 Fax: 772-807-1409
Ahmet Bahadir Ergin, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1700 Se Hillmoor Dr, Port St Lucie, FL 34952 Phone: 772-335-9600 Fax: 772-335-7972
Dr. Philip Lortz, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1855 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-288-6300 Fax: 772-288-6374
Edwin Benedict Flanagan, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1651 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-1800 Fax: 772-398-1815

Marissa Bournique, - Medicare Gastroenterology in Port St Lucie, FL