Brad Bourgeois, in Winter Park, FL - Medicare Nurse Practitioner

Brad Bourgeois, is a medicare enrolled "Nurse Practitioner" in Winter Park, Florida. His current practice location is 201 N Lakemont Ave, Winter Park, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 790-4205.

Brad Bourgeois is licensed to practice in Louisiana (license number AP08638) 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 1982066783.

Contact Information

	Brad Bourgeois,
	201 N Lakemont Ave, Winter Park, FL 32792-3228
	(407) 790-4205
	Not Available

Map and Direction

Provider's Profile

Full Name	Brad Bourgeois
Gender	Male
Speciality	Nurse Practitioner
Location	201 N Lakemont Ave, Winter Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982066783
Provider Enumeration Date: 03/22/2016
Last Update Date: 01/28/2019

Medicare PECOS Information:

PECOS PAC ID: 0941509566
Enrollment ID: I20160504000419

Medical Identifiers

Medical identifiers for Brad Bourgeois such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982066783	NPI	-	NPPES
2416243	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP08638 (Louisiana)	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. Brad Bourgeois allows following entities to bill medicare on his behalf.

Entity Name	Hai Nam Nguyen Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831417153 PECOS PAC ID: 3577832609 Enrollment ID: O20170706000411

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. Brad Bourgeois 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
Brad Bourgeois, 5842 Sundown Cir Apt 621, Orlando, FL 32822-9452 Ph: (985) 209-7381	Brad Bourgeois, 201 N Lakemont Ave, Winter Park, FL 32792-3228 Ph: (407) 790-4205

Reviews and Comments

Nurse Practitioner Nurses in Winter Park, FL

Naina Sebastian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3695 Bear Gully Rd # 3695, Winter Park, FL 32792 Phone: 407-782-3288
Mary Catherine Lucy Hansen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Virginia Dr, Winter Park, FL 32789 Phone: 407-599-3434 Fax: 407-599-3438
Thuy Anh Lai, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 839 N Orlando Ave, Winter Park, FL 32789 Phone: 407-647-1862
Mr. Jared Scott Levine, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Mizell Ave Ste 1600a, Winter Park, FL 32792 Phone: 407-646-7380 Fax: 407-646-7381
Nataliya Goldenberg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 W Canton Ave, Winter Park, FL 32789 Phone: 415-994-7289
Mrs. Sandra Ruby Weisstein, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Holt Ave, 2727, Winter Park, FL 32789 Phone: 407-646-2512
Mrs. Rachel Gainsford, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-975-0200 Fax: 407-975-0209

Brad Bourgeois, - Medicare Nurse Practitioner in Winter Park, FL