David Clarke Bourque, PA-C in Charleston, SC - Medicare Physician Assistant

David Clarke Bourque, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Charleston, South Carolina. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Roper Saint Francis Physicians Network and his current practice location is 1483 Tobias Gadson Blvd Ste 202, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 763-2320.

David Clarke Bourque is licensed to practice in South Carolina (license number 3492) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578118170.

Contact Information

	David Clarke Bourque, PA-C
	1483 Tobias Gadson Blvd Ste 202, Charleston, SC 29407-4796
	(843) 763-2320
	(843) 763-4198

Map and Direction

Provider's Profile

Full Name	David Clarke Bourque
Gender	Male
Speciality	Physician Assistant
Experience	5 Years
Location	1483 Tobias Gadson Blvd Ste 202, Charleston, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Clarke Bourque graduated from nursing school in 2019

NPI Data:

NPI Number: 1578118170
Provider Enumeration Date: 08/09/2019
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 5395175798
Enrollment ID: I20200427002337

Medical Identifiers

Medical identifiers for David Clarke Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578118170	NPI	-	NPPES
3492	Other	SC	SC LICENSE
4170PA	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363AS0400X	Physician Assistant - Surgical	(* (Not Available))	Secondary
363AS0400X	Physician Assistant - Surgical	3492 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bon Secours-st Francis Xavier Hospital	Charleston, SC	Hospital
Roper Hospital	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Roper Saint Francis Physicians Network	5193874824	422

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. David Clarke Bourque 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
David Clarke Bourque, PA-C Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620	David Clarke Bourque, PA-C 1483 Tobias Gadson Blvd Ste 202, Charleston, SC 29407-4796 Ph: (843) 763-2320

Reviews and Comments

Physician Assistant Nurses in Charleston, SC

Amy Lynn Canino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-402-1638 Fax: 843-724-2455
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Jessica Marie Greenwood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 641 Saint Andrews Blvd, Charleston, SC 29407 Phone: 843-766-9747
Taryn Bentler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave, Charleston, SC 29425 Phone: 843-792-3531

David Clarke Bourque, PA-C - Medicare Physician Assistant in Charleston, SC