Michael Bourque, MD in Hartford, CT

Michael Bourque, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Hartford, Connecticut. His current practice location is 282 Washington St, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 545-9520.

Michael Bourque is licensed to practice in Connecticut (license number 029964) 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 1518939321.

Contact Information

	Michael Bourque, MD
	282 Washington St, Hartford, CT 06106-3322
	(860) 545-9520
	(860) 545-9545

Map and Direction

Physician's Profile

Full Name	Michael Bourque
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	282 Washington St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518939321
Provider Enumeration Date: 02/06/2006
Last Update Date: 11/04/2013

Medicare PECOS Information:

PECOS PAC ID: 2264609049
Enrollment ID: I20120119000083

Medical Identifiers

Medical identifiers for Michael Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518939321	NPI	-	NPPES
001299644	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	029964 (Connecticut)	Secondary
2086S0120X	Surgery - Pediatric Surgery	029964 (Connecticut)	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. Michael Bourque allows following entities to bill medicare on his behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

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. Michael Bourque 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
Michael Bourque, MD 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9520	Michael Bourque, MD 282 Washington St, Hartford, CT 06106-3322 Ph: (860) 545-9520

Reviews and Comments

Surgery Doctors in Hartford, CT

James Joseph Gallagher Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 85 Seymour St, Suite 409, Hartford, CT 06106 Phone: 860-522-4158 Fax: 860-524-2652
Lindsay M Difelice, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-972-5022
Dr. James John Matino, MD Surgery Medicare: Medicare Enrolled Practice Location: 1000 Asylum Ave, Suite 2118, Hartford, CT 06105 Phone: 860-241-0870 Fax: 860-241-8296
Alan David Drezner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-522-4158 Fax: 860-524-2652
Dr. Jessica M Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St, Suite 415, Hartford, CT 06106 Phone: 860-246-2071 Fax: 860-524-2650
Tracy Morales, DO Surgery Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Cb 101, Hartford, CT 06102 Phone: 860-545-4187 Fax: 860-545-2006
Dr. Scheuster Emmanuel Christie, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 4320, Hartford, CT 06105 Phone: 860-714-5237 Fax: 860-714-8311

Michael Bourque, MD - Medicare Surgery in Hartford, CT