Dr Michael Paul Bourgoin, OD - Medicare Optometrist in Costa Mesa, CA

Dr Michael Paul Bourgoin, OD is a medicare enrolled "Optometrist" provider in Costa Mesa, California. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Custom Eyes Optometry Inc and his current practice location is 1835 Newport Blvd, Suite A-111, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at (949) 646-4949.

Dr Michael Paul Bourgoin is licensed to practice in California (license number 9870T) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1720197361.

Contact Information

Dr Michael Paul Bourgoin, OD
1835 Newport Blvd, Suite A-111,
Costa Mesa, CA 92627-5031
(949) 646-4949
(949) 646-2533

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael Paul Bourgoin
GenderMale
SpecialityOptometry
Experience32 Years
Location1835 Newport Blvd, Costa Mesa, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael Paul Bourgoin graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1720197361
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 11/02/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1557371739
  • Enrollment ID: I20060503000323

Medical Identifiers

Medical identifiers for Dr Michael Paul Bourgoin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720197361NPI-NPPES
1548472921OtherCAGROUP NPI
9870TOtherCACA OPTOMETRY LICENSE #
WOP9870IOtherCAPPIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 9870T (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Custom Eyes Optometry Inc88200080062

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. Dr Michael Paul Bourgoin allows following entities to bill medicare on his behalf.
Provider NameCustom Eyes Optometry Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548472921
PECOS PAC ID: 8820008006
Enrollment ID: O20060502000896

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. Dr Michael Paul 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 AddressPractice Location Address
Dr Michael Paul Bourgoin, OD
1835 Newport Blvd, Suite A-111,
Costa Mesa, CA 92627-5031

Ph: (949) 646-4949
Dr Michael Paul Bourgoin, OD
1835 Newport Blvd, Suite A-111,
Costa Mesa, CA 92627-5031

Ph: (949) 646-4949

Reviews and Comments


Optometrist in Costa Mesa, CA

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Acuity Eye Group
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Phone: 949-876-5046    Fax: 949-573-5394
Dr. Mimia Wen, OD
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Phone: 949-432-7894    Fax: 949-432-7880
Dr. Jack Chia Shea, OD
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Phone: 949-642-7882    Fax: 949-642-7792
Dr. Neda Khadem, O.D.
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Practice Location: 1545 Nutmeg Pl, Costa Mesa, CA 92626
Phone: 714-435-1150    Fax: 714-435-1250

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.