Mary Bourbon, in Glen Burnie, MD - Medicare Nurse Practitioner

Mary Bourbon, is a medicare enrolled "Nurse Practitioner - Family" in Glen Burnie, Maryland. Her current practice location is 1600 S. Cain Highway, Suite 401, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 768-5050.

Mary Bourbon is licensed to practice in Maryland (license number R089401) 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 1023499548.

Contact Information

	Mary Bourbon,
	1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061
	(410) 768-5050
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Bourbon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1600 S. Cain Highway, Glen Burnie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023499548
Provider Enumeration Date: 06/10/2015
Last Update Date: 06/02/2016

Medicare PECOS Information:

PECOS PAC ID: 4688988504
Enrollment ID: I20150805007111

Medical Identifiers

Medical identifiers for Mary Bourbon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023499548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R089401 (Maryland)	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. Mary Bourbon allows following entities to bill medicare on her behalf.

Entity Name	Corsica River Mental Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396077749 PECOS PAC ID: 0941497382 Enrollment ID: O20101210000133

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. Mary Bourbon 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
Mary Bourbon, 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Ph: (410) 768-5050	Mary Bourbon, 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Ph: (410) 768-5050

Reviews and Comments

Nurse Practitioner Nurses in Glen Burnie, MD

Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200
Marlowe Ann Driscoll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061 Phone: 855-527-7246 Fax: 866-229-5063
Jesse Okonigbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Warwickshire Ln, Apt E, Glen Burnie, MD 21061 Phone: 302-382-7248
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434

Mary Bourbon, - Medicare Nurse Practitioner in Glen Burnie, MD