Mrs Lori K Bourne, PA in Melbourne, FL - Medicare Physician Assistant

Mrs Lori K Bourne, PA is a medicare enrolled "Physician Assistant - Medical" in Melbourne, Florida. Her current practice location is 1350 Hickory St, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 434-1771.

Mrs Lori K Bourne is licensed to practice in Florida (license number PA2514) 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 1841449766.

Contact Information

	Mrs Lori K Bourne, PA
	1350 Hickory St, Melbourne, FL 32901-3224
	(321) 434-1771
	(321) 434-1775

Map and Direction

Provider's Profile

Full Name	Mrs Lori K Bourne
Gender	Female
Speciality	Physician Assistant - Medical
Location	1350 Hickory St, Melbourne, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841449766
Provider Enumeration Date: 09/16/2008
Last Update Date: 08/15/2013

Medicare PECOS Information:

PECOS PAC ID: 9537159165
Enrollment ID: I20040515000422

Medical Identifiers

Medical identifiers for Mrs Lori K Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841449766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA2514 (Florida)	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. Mrs Lori K Bourne 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
Mrs Lori K Bourne, PA 1223 Gateway Dr, Melbourne, FL 32901-2607 Ph: (321) 434-1771	Mrs Lori K Bourne, PA 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-1771

Reviews and Comments

Physician Assistant Nurses in Melbourne, FL

Mr. Christian Anthony Staniec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6032 Farcenda Pl, #102, Melbourne, FL 32940 Phone: 321-608-8160 Fax: 321-622-6818
Ms. Sabrina Wu Staples, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3337 Hoofprint Dr, Melbourne, FL 32940 Phone: 321-610-7234
Mr. Patrick Gene Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1494 Avocado Ave, Melbourne, FL 32935 Phone: 321-610-7950
Sara Jane Sengel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940 Phone: 321-253-2169 Fax: 321-253-1720
Mr. Michael J Ceranowski, PA-C, CAA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820
Danielle N Miller, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-725-4505 Fax: 321-409-8932
Yesenia Aragon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2221 Town Center Ave, #121, Melbourne, FL 32940 Phone: 786-202-1865

Mrs Lori K Bourne, PA - Medicare Physician Assistant in Melbourne, FL