Keith James Bourgeois, FNP-C in North Conway, NH

Keith James Bourgeois, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in North Conway, New Hampshire. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mainehealth and his current practice location is 3073 White Mountain Hwy, North Conway, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 356-5472.

Keith James Bourgeois is licensed to practice in New Hampshire (license number 111595-23) 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 1720502628.

Contact Information

	Keith James Bourgeois, FNP-C
	3073 White Mountain Hwy, North Conway, NH 03860-7101
	(603) 356-5472
	(603) 356-9647

Map and Direction

Provider's Profile

Full Name	Keith James Bourgeois
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	3073 White Mountain Hwy, North Conway, New Hampshire
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:

Keith James Bourgeois graduated from nursing school in 2017

NPI Data:

NPI Number: 1720502628
Provider Enumeration Date: 08/01/2017
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3173798386
Enrollment ID: I20171201000093

Medical Identifiers

Medical identifiers for Keith James Bourgeois such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720502628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	111595-23 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern Maine Health Care	Biddeford, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mainehealth	7517860588	2109

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. Keith James Bourgeois allows following entities to bill medicare on his behalf.

Entity Name	Central Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

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. Keith James Bourgeois 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
Keith James Bourgeois, FNP-C 24 Smith St, Fryeburg, ME 04037-1121 Ph: (207) 415-6399	Keith James Bourgeois, FNP-C 3073 White Mountain Hwy, North Conway, NH 03860-7101 Ph: (603) 356-5472

Reviews and Comments

Nurse Practitioner Nurses in North Conway, NH

Kimberly S. Macdermott, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5472 Fax: 603-356-9647
Linda J Barton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461
Mrs. Kathleen Blake Maynard, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, Primary Care, Memorial Hospital, North Conway, NH 03860 Phone: 603-356-5461
Jennifer Winthrop Golkowski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-0796
Zachary Stephen Sevigny, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461
Charisse N. Hirschfeld, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5472
Justine Fierman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, Memorial Hospital, North Conway, NH 03860 Phone: 603-356-4949

Keith James Bourgeois, FNP-C - Medicare Nurse Practitioner in North Conway, NH