Michelle Nichols Bourke, MD in Greenbrae, CA

Michelle Nichols Bourke, MD is a medicare enrolled "Internal Medicine" physician in Greenbrae, California. Her current practice location is 250 Bon Air Rd, Greenbrae, California. You can reach out to her office (for appointments etc.) via phone at (415) 925-7545.

Michelle Nichols Bourke is licensed to practice in California (license number A73725) 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 1750533881.

Contact Information

	Michelle Nichols Bourke, MD
	250 Bon Air Rd, Greenbrae, CA 94904-1702
	(415) 925-7545
	Not Available

Map and Direction

Physician's Profile

Full Name	Michelle Nichols Bourke
Gender	Female
Speciality	Internal Medicine
Location	250 Bon Air Rd, Greenbrae, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750533881
Provider Enumeration Date: 10/21/2008
Last Update Date: 10/21/2008

Medicare PECOS Information:

PECOS PAC ID: 8022156942
Enrollment ID: I20091113000512

Medical Identifiers

Medical identifiers for Michelle Nichols Bourke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750533881	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A73725 (California)	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. Michelle Nichols Bourke allows following entities to bill medicare on her behalf.

Entity Name	Marin Hospitalist Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041753 PECOS PAC ID: 1456257146 Enrollment ID: O20031211001139

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. Michelle Nichols Bourke 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
Michelle Nichols Bourke, MD 250 Bon Air Rd, Greenbrae, CA 94904-1702 Ph: (415) 925-7545	Michelle Nichols Bourke, MD 250 Bon Air Rd, Greenbrae, CA 94904-1702 Ph: (415) 925-7545

Reviews and Comments

Internal Medicine Doctors in Greenbrae, CA

Dr. Albert A Varner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904 Phone: 415-925-6900 Fax: 415-925-6919
Dr. Kerry Lynn Davidson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 250 Bon Air Rd, 3rd Floor, Greenbrae, CA 94904 Phone: 415-925-7545 Fax: 415-925-7008
Dr. Janeen Smith, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 250 Bon Air Rd, 3rd Floor, Greenbrae, CA 94904 Phone: 415-925-7545 Fax: 415-925-7008
Dr. Maryam Ziaie Matin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Via Casitas, Greenbrae, CA 94904 Phone: 415-464-1771 Fax: 415-464-1158
Dr. Suhaila Nawabi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-925-7000
Mark Kubik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Via Casitas, Greenbrae, CA 94904 Phone: 415-464-1770 Fax: 415-464-1158
Alex Jamal Farhat, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-925-7000

Michelle Nichols Bourke, MD - Medicare Internal Medicine in Greenbrae, CA