Ms Christine Caroline Bourgoin, FNP in Saint Petersburg, FL

Ms Christine Caroline Bourgoin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Petersburg, Florida. Her current practice location is 6006 49th St N Ste 120, Saint Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 528-5739.

Ms Christine Caroline Bourgoin is licensed to practice in Florida (license number 9166500) 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 1720365448.

Contact Information

	Ms Christine Caroline Bourgoin, FNP
	6006 49th St N Ste 120, Saint Petersburg, FL 33709-2149
	(727) 528-5739
	(727) 528-5855

Map and Direction

Provider's Profile

Full Name	Ms Christine Caroline Bourgoin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6006 49th St N Ste 120, Saint Petersburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720365448
Provider Enumeration Date: 11/09/2011
Last Update Date: 04/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0840411013
Enrollment ID: I20150130002339

Medical Identifiers

Medical identifiers for Ms Christine Caroline Bourgoin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720365448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	0001180899 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	9166500 (Florida)	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. Ms Christine Caroline Bourgoin allows following entities to bill medicare on her behalf.

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696

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. Ms Christine Caroline Bourgoin 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
Ms Christine Caroline Bourgoin, FNP 6006 49th St N Ste 120, Saint Petersburg, FL 33709-2149 Ph: (727) 528-5739	Ms Christine Caroline Bourgoin, FNP 6006 49th St N Ste 120, Saint Petersburg, FL 33709-2149 Ph: (727) 528-5739

Reviews and Comments

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Ms Christine Caroline Bourgoin, FNP - Medicare Nurse Practitioner in Saint Petersburg, FL