Coffee Bourne, CRNA - Medicare Nurse Anesthetist, Certified Registered in Richmond, VA

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Coffee Bourne, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Richmond, Virginia. Her current practice location is 1250 E Marshall St, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 828-2207.

Coffee Bourne is licensed to practice in Virginia (license number 0024174431) 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 1861939191.

Contact Information

Coffee Bourne, CRNA
1250 E Marshall St,
Richmond, VA 23298-5023
(804) 828-2207
(804) 828-8300

Map and Direction




Provider's Profile

Full NameCoffee Bourne
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1250 E Marshall St, Richmond, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861939191
  • Provider Enumeration Date: 01/25/2017
  • Last Update Date: 10/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628355575
  • Enrollment ID: I20170503001016

Medical Identifiers

Medical identifiers for Coffee Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861939191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001253399 (Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 0024174431 (Virginia)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. Coffee Bourne allows following entities to bill medicare on her behalf.
Entity NameMcv Associated Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710959457
PECOS PAC ID: 4385542117
Enrollment ID: O20031230000559
Entity NameAmerican Anesthesiology Of Virginia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417994872
PECOS PAC ID: 6800790023
Enrollment ID: O20080812000606
Entity NameDogwood Anesthesia Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982329900
PECOS PAC ID: 2769853084
Enrollment ID: O20230125000989

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. Coffee 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
Coffee Bourne, CRNA
Po Box 780125,
Philadelphia, PA 19178-0125

Ph: (804) 922-4844		Coffee Bourne, CRNA
1250 E Marshall St,
Richmond, VA 23298-5023

Ph: (804) 828-2207

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Richmond, VA

Janine L Gibbons, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226
Phone: 804-288-6258    Fax: 804-282-9921
Karen L Hague, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1602 Skipwith Rd, Richmond, VA 23229
Phone: 804-289-4937    
Lisa Broaddus Ziegler, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5801 Bremo Rd, Richmond, VA 23226
Phone: 804-285-2011    
Caleb Lesch,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226
Phone: 804-673-1038    
Michael R. Mercer, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1250 E Marshall St, Dept. Of Anesthesiology/crna, Richmond, VA 23298
Phone: 804-628-6990    Fax: 804-628-6932
Diana Marcela Rodriguez, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1602 Skipwith Rd, Richmond, VA 23229
Phone: 804-300-0757    
Eric J Miller,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 900 E Leigh St, Richmond, VA 23298
Phone: 804-828-7247    

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.