Ms Melissa Nicole Bourque, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Moultonborough, New Hampshire. Her current practice location is
984 Whittier Hwy, Moultonborough Family Medicine, Moultonborough, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 476-2216.
Ms Melissa Nicole Bourque is licensed to practice in New Hampshire (license number 059980-23) 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 1962955062.
Provider's Profile
| Full Name | Ms Melissa Nicole Bourque |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 984 Whittier Hwy, Moultonborough, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962955062
- Provider Enumeration Date: 07/26/2016
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012204183
- Enrollment ID: I20170105000764
Medical Identifiers
Medical identifiers for Ms Melissa Nicole Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962955062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 059980-23 (New Hampshire) | 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 Melissa Nicole Bourque allows following entities to bill medicare on her behalf.
| Entity Name | Huggins Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366476079
PECOS PAC ID: 4880504927
Enrollment ID: O20060425000045 |
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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 Melissa Nicole Bourque 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 |
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Ms Melissa Nicole Bourque, APRN
240 South Main St.,
Wolfeboro, NH 03894
Ph: (603) 569-7500 | Ms Melissa Nicole Bourque, APRN
984 Whittier Hwy, Moultonborough Family Medicine,
Moultonborough, NH 03254
Ph: (603) 476-2216 |
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