Matthew Dulles Bourne, DO - Medicare Radiology in Silver Spring, MD

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Matthew Dulles Bourne, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Silver Spring, Maryland. His current practice location is 1100 Wayne Ave Ste 1020, Silver Spring, Maryland. You can reach out to his office (for appointments etc.) via phone at (703) 390-9882.

Matthew Dulles Bourne is licensed to practice in Maryland (license number H0100891) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619437779.

Contact Information

Matthew Dulles Bourne, DO
1100 Wayne Ave Ste 1020,
Silver Spring, MD 20910-5643
(703) 390-9882
Not Available

Map and Direction




Physician's Profile

Full NameMatthew Dulles Bourne
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1100 Wayne Ave Ste 1020, Silver Spring, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619437779
  • Provider Enumeration Date: 03/23/2019
  • Last Update Date: 12/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8325587264
  • Enrollment ID: I20240823001266

Medical Identifiers

Medical identifiers for Matthew Dulles Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619437779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 21575 (North Dakota)Secondary
2085R0202XRadiology - Diagnostic Radiology DO-0133 (Guam)Secondary
2085R0202XRadiology - Diagnostic Radiology 2024039730 (Missouri)Secondary
2085R0202XRadiology - Diagnostic Radiology H0100891 (Maryland)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. Matthew Dulles Bourne allows following entities to bill medicare on his behalf.
Entity NameGrand Island Radiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932136405
PECOS PAC ID: 7719978261
Enrollment ID: O20191113000197
Entity NamePlains Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164677126
PECOS PAC ID: 1850453432
Enrollment ID: O20191121000391
Entity NameLeconte Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447210109
PECOS PAC ID: 1850373705
Enrollment ID: O20210325002724
Entity NameMaryland Imaging Network Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487296471
PECOS PAC ID: 6103259304
Enrollment ID: O20221130002395
Entity NameGreat Plains Radiology & Nuclear Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427089838
PECOS PAC ID: 2062310899
Enrollment ID: O20230202002384
Entity NameAllen Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346292521
PECOS PAC ID: 4284546045
Enrollment ID: O20230414000075
Entity NameRadiologic Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023061702
PECOS PAC ID: 3577451491
Enrollment ID: O20231010001503
Entity NameValley Radiology P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093723538
PECOS PAC ID: 0749181089
Enrollment ID: O20241022002854

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. Matthew Dulles 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 AddressPractice Location Address
Matthew Dulles Bourne, DO
201 E University Pkwy Dept Of,
Baltimore, MD 21218-2829

Ph: (410) 554-2284		Matthew Dulles Bourne, DO
1100 Wayne Ave Ste 1020,
Silver Spring, MD 20910-5643

Ph: (703) 390-9882

Reviews and Comments


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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.