Dinah S Bourdon, ANP in Charlotte, NC - Medicare Nurse Practitioner

Dinah S Bourdon, ANP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Charlotte, North Carolina. Her current practice location is 501 Billingsley Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 358-2700.

Dinah S Bourdon is licensed to practice in North Carolina (license number 151301) 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 1124052568.

Contact Information

	Dinah S Bourdon, ANP
	501 Billingsley Rd, Charlotte, NC 28211-1009
	(704) 358-2700
	(704) 358-2716

Map and Direction

Provider's Profile

Full Name	Dinah S Bourdon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	501 Billingsley Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124052568
Provider Enumeration Date: 07/10/2006
Last Update Date: 05/10/2016

Medicare PECOS Information:

PECOS PAC ID: 0446354427
Enrollment ID: I20070330000529

Medical Identifiers

Medical identifiers for Dinah S Bourdon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124052568	NPI	-	NPPES
1124052568	Medicaid	NC
7005232	Medicaid	NC
NP1545	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	151301 (North Carolina)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	900130 (North Carolina)	Secondary

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. Dinah S Bourdon allows following entities to bill medicare on her behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

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. Dinah S Bourdon 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
Dinah S Bourdon, ANP 501 Billingsley Rd, Ste A, Charlotte, NC 28211-1009 Ph: (704) 358-2700	Dinah S Bourdon, ANP 501 Billingsley Rd, Charlotte, NC 28211-1009 Ph: (704) 358-2700

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
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Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840

Dinah S Bourdon, ANP - Medicare Nurse Practitioner in Charlotte, NC