Harvey Bouru, is a medicare enrolled "Physician Assistant" in Lincoln Park, Michigan. His current practice location is
1770 Fort St, Lincoln Park, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 753-0016.
Harvey Bouru is licensed to practice in Michigan (license number 5601009896) 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 1518582485.
Provider's Profile
Full Name | Harvey Bouru |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1770 Fort St, Lincoln Park, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518582485
- Provider Enumeration Date: 06/16/2020
- Last Update Date: 06/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557755444
- Enrollment ID: I20220217002507
Medical Identifiers
Medical identifiers for Harvey Bouru such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518582485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601009896 (Michigan) | Primary |
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. Harvey Bouru 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 |
Harvey Bouru, 5346 Clippert St, Dearborn Heights, MI 48125-2740 Ph: (313) 753-0016 | Harvey Bouru, 1770 Fort St, Lincoln Park, MI 48146-1904 Ph: (313) 753-0016 |
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