Thomas D Bourne, MD | |
10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 | |
(501) 604-2695 | |
(501) 604-2699 |
Full Name | Thomas D Bourne |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 23 Years |
Location | 10810 Executive Center Dr Ste 100, Little Rock, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346462561 | NPI | - | NPPES |
1346462561 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 0101241305 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norton Hospitals, Inc | Louisville, KY | Hospital |
Au Medical Center | Augusta, GA | Hospital |
Baptist Health Louisville | Louisville, KY | Hospital |
Maine General Medical Center | Augusta, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nephropathology Associates, Plc | 6901707405 | 26 |
Entity Name | Nephropathology Associates, Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649545195 PECOS PAC ID: 6901707405 Enrollment ID: O20120323000340 |
Mailing Address | Practice Location Address |
---|---|
Thomas D Bourne, MD 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 Ph: (501) 604-2695 | Thomas D Bourne, MD 10810 Executive Center Dr Ste 100, Little Rock, AR 72211-4386 Ph: (501) 604-2695 |
Dr. Larry Nicholas Cossey, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 10810 Executive Center Dr, Suite 100, Little Rock, AR 72211 Phone: 501-604-2695 | |
Hal Eugene Palmer, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Lile Ct, Suite 101, Little Rock, AR 72205 Phone: 501-225-7711 Fax: 501-225-7108 | |
Dr. Susan Alynn Kemp, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 602 N Monroe St, Little Rock, AR 72205 Phone: 501-414-9810 | |
Neslihan Cetin, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Ms. Stephen Eric Sturdivant, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Little Rock, AR 72205 Phone: 501-663-4116 Fax: 501-663-4301 | |
Bradley Fogel, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Dr. Nathan Edward Lee, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 517, Little Rock, AR 72205 Phone: 501-686-5356 |