Chandre Sergent Bourne, APRN - Medicare Nurse Practitioner in Berea, KY

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Chandre Sergent Bourne, APRN is a medicare enrolled "Nurse Practitioner - Family" in Berea, Kentucky. Her current practice location is 1000 Ace Dr, Berea, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 756-5006.

Chandre Sergent Bourne is licensed to practice in Kentucky (license number 3011193) 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 1417478157.

Contact Information

Chandre Sergent Bourne, APRN
1000 Ace Dr,
Berea, KY 40403-1327
(859) 756-5006
(859) 985-9665

Map and Direction




Provider's Profile

Full NameChandre Sergent Bourne
GenderFemale
SpecialityNurse Practitioner - Family
Location1000 Ace Dr, Berea, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417478157
  • Provider Enumeration Date: 07/03/2017
  • Last Update Date: 01/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810254737
  • Enrollment ID: I20171201001223

Medical Identifiers

Medical identifiers for Chandre Sergent Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417478157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3011193 (Kentucky)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. Chandre Sergent Bourne allows following entities to bill medicare on her behalf.
Entity NameBhg Xxv Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710323894
PECOS PAC ID: 2365750874
Enrollment ID: O20151002001546
Entity NameBhg Xxiv Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568808640
PECOS PAC ID: 3971811498
Enrollment ID: O20151002001679
Entity NameBhg Xxvi, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417393414
PECOS PAC ID: 9739498346
Enrollment ID: O20151022000629
Entity NameBhg Xxxiv Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578986345
PECOS PAC ID: 6608185228
Enrollment ID: O20151022000852
Entity NameBhg Xxxv Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386067254
PECOS PAC ID: 7113237538
Enrollment ID: O20151113001401
Entity NameBhg Xxxiii, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982027199
PECOS PAC ID: 4082914981
Enrollment ID: O20151125001355

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. Chandre Sergent Bourne 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 AddressPractice Location Address
Chandre Sergent Bourne, APRN
1000 Ace Dr,
Berea, KY 40403-1327

Ph: (859) 756-5006		Chandre Sergent Bourne, APRN
1000 Ace Dr,
Berea, KY 40403-1327

Ph: (859) 756-5006

Reviews and Comments


Nurse Practitioner Nurses in Berea, KY

Colleen E Ambrose, NP
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Phone: 859-986-2323    Fax: 859-986-7728
Ms. Jillisa D Hawk, ARNP
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Practice Location: 305 Estill St, Berea, KY 40403
Phone: 859-986-9521    Fax: 859-986-7369
Stephanie Jane Warren, APRN
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Teresa Leigh Turner, APRN, FNP
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Practice Location: 208 Kidd Drive, Berea, KY 40403
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Mr. Adam Lee Deshong, APRN
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Practice Location: 234 Brenwood St, Berea, KY 40403
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Rebecca Brandenburg, APRN- CNP
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Practice Location: 305 Estill St, Berea, KY 40403
Phone: 859-985-1415    Fax: 859-986-6752
Ms. Robin Kay Smith, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2750 Battlefield Memorial Hwy, Berea, KY 40403
Phone: 859-986-0302    Fax: 859-986-0315

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.