Soufyane Bourass, in Saint Augustine, FL - Medicare Nurse Practitioner

Soufyane Bourass, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Augustine, Florida. His current practice location is 1400 Old Dixie Hwy, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 824-0724.

Soufyane Bourass is licensed to practice in Florida (license number APRN11017959) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306590633.

Contact Information

	Soufyane Bourass,
	1400 Old Dixie Hwy, Saint Augustine, FL 32084-4190
	(904) 824-0724
	Not Available

Map and Direction

Provider's Profile

Full Name	Soufyane Bourass
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1400 Old Dixie Hwy, Saint Augustine, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306590633
Provider Enumeration Date: 02/06/2022
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2860853017
Enrollment ID: I20230803002731

Medical Identifiers

Medical identifiers for Soufyane Bourass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306590633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN11017959 (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. Soufyane Bourass allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Elite Psychiatry Specialist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326775016 PECOS PAC ID: 5193197002 Enrollment ID: O20230803002395

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. Soufyane Bourass 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
Soufyane Bourass, 88 Lochnagar Mountain Dr, Saint Johns, FL 32259-6672 Ph: (812) 870-8683	Soufyane Bourass, 1400 Old Dixie Hwy, Saint Augustine, FL 32084-4190 Ph: (904) 824-0724

Reviews and Comments

Nurse Practitioner Nurses in Saint Augustine, FL

Lucie Davis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 363 Chasewood Dr, Saint Augustine, FL 32095 Phone: 408-759-2838
Samantha D Reynolds, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Health Park Blvd Ste 3002, Saint Augustine, FL 32086 Phone: 904-819-1500 Fax: 904-810-1023
Ms. Katrina Shanell General, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 131 Bonair Dr, Saint Augustine, FL 32092 Phone: 904-463-1778
Eli Billeter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Moultrie Crossing Ln, Saint Augustine, FL 32086 Phone: 904-819-5155
Stephanie Digirolamo, ARNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 Silver Glen Ave, Saint Augustine, FL 32092 Phone: 904-525-1302
Dr. Deborah Fisher Terry, DNP, ARNP, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Crown Dr, Totalcaring Health Education & Staffing, Inc., Saint Augustine, FL 32092 Phone: 904-347-3031 Fax: 904-940-9924
Mr. Brian Emerson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Orthopaedic Pl, Saint Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490

Soufyane Bourass, - Medicare Nurse Practitioner in Saint Augustine, FL