Rikki F Bourque, APRN, CPNP in Baton Rouge, LA

Rikki F Bourque, APRN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Baton Rouge, Louisiana. Her current practice location is 8200 Constantin Blvd Fl 1, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 765-5500.

Rikki F Bourque is licensed to practice in Louisiana (license number 203982) 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 1912466863.

Contact Information

	Rikki F Bourque, APRN, CPNP
	8200 Constantin Blvd Fl 1, Baton Rouge, LA 70809-3481
	(225) 765-5500
	(225) 374-0501

Map and Direction

Provider's Profile

Full Name	Rikki F Bourque
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	8200 Constantin Blvd Fl 1, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912466863
Provider Enumeration Date: 03/19/2019
Last Update Date: 01/20/2021

Medicare PECOS Information:

PECOS PAC ID: 7719210129
Enrollment ID: I20190617001842

Medical Identifiers

Medical identifiers for Rikki F Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912466863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	203982 (Louisiana)	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. Rikki F Bourque allows following entities to bill medicare on her behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

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. Rikki F 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
Rikki F Bourque, APRN, CPNP 7777 Hennessy Blvd Ste 306, Baton Rouge, LA 70808-4365 Ph: (225) 374-0500	Rikki F Bourque, APRN, CPNP 8200 Constantin Blvd Fl 1, Baton Rouge, LA 70809-3481 Ph: (225) 765-5500

Reviews and Comments

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Rikki F Bourque, APRN, CPNP - Medicare Nurse Practitioner in Baton Rouge, LA