Michael Hal Bourne Jr, MD in Salt Lake City, UT

Michael Hal Bourne Jr, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Salt Lake City, Utah. He went to University Of Rochester School Of Medicine And Dentistry and graduated in 2013 and has 11 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice The Oregon Clinic, Pc and his current practice location is 1160 E 3900 S Ste 4050, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 266-3418.

Michael Hal Bourne Jr is licensed to practice in Utah (license number 12857513-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881030443.

Contact Information

	Michael Hal Bourne Jr, MD
	1160 E 3900 S Ste 4050, Salt Lake City, UT 84124-1264
	(801) 266-3418
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Hal Bourne Jr
Gender	Male
Speciality	Pulmonary Disease
Experience	11 Years
Location	1160 E 3900 S Ste 4050, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Hal Bourne Jr attended and graduated from University Of Rochester School Of Medicine And Dentistry in 2013

NPI Data:

NPI Number: 1881030443
Provider Enumeration Date: 05/22/2013
Last Update Date: 06/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1951549948
Enrollment ID: I20190619003354

Medical Identifiers

Medical identifiers for Michael Hal Bourne Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881030443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	12857513-1205 (Utah)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	12857513-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Newberg Medical Center	Newberg, OR	Hospital
Providence Seaside Hospital	Seaside, OR	Hospital
Providence Willamette Falls Medical Center	Oregon city, OR	Hospital
Legacy Meridian Park Medical Center	Tualatin, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Oregon Clinic, Pc	2860390408	313

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 Hal Bourne Jr allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

Entity Name	The Oregon Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519

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 Hal Bourne Jr 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 Hal Bourne Jr, MD Po Box 741729, Atlanta, GA 30374-1729 Ph: () -	Michael Hal Bourne Jr, MD 1160 E 3900 S Ste 4050, Salt Lake City, UT 84124-1264 Ph: (801) 266-3418

Reviews and Comments

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Dr. Mehmet Akkaya, M.D Pulmonary Disease Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
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Siddharth K. Iyengar, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Michael Hal Bourne Jr, MD - Medicare Pulmonary Disease in Salt Lake City, UT