Kelly Bourgon, OD in Longmont, CO - Medicare Optometry Provider

Kelly Bourgon, OD is a medicare enrolled "Optometrist" provider in Longmont, Colorado. She went to Pacific University - College Of Optometry and graduated in 2018 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Eye Care Associates Of Co Llc and her current practice location is 412 Main St, Longmont, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 651-6700.

Kelly Bourgon is licensed to practice in Colorado (license number 3557) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194213751.

Contact Information

	Kelly Bourgon, OD
	412 Main St, Longmont, CO 80501-5535
	(303) 651-6700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Bourgon
Gender	Female
Speciality	Optometry
Experience	6 Years
Location	412 Main St, Longmont, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Bourgon attended and graduated from Pacific University - College Of Optometry in 2018

NPI Data:

NPI Number: 1194213751
Provider Enumeration Date: 04/28/2018
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4981955895
Enrollment ID: I20200917003222

Medical Identifiers

Medical identifiers for Kelly Bourgon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194213751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV008844 (New York)	Secondary
152W00000X	Optometrist	3557 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Care Associates Of Co Llc	9537597828	49

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. Kelly Bourgon allows following entities to bill medicare on her behalf.

Provider Name	Abba Eye Care Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952301129 PECOS PAC ID: 1355231051 Enrollment ID: O20040317000504

Provider Name	Eye Care Associates Of Co Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124674049 PECOS PAC ID: 9537597828 Enrollment ID: O20200320000163

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. Kelly Bourgon 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
Kelly Bourgon, OD 1768 S Taft Ave Apt 103, Loveland, CO 80537-7291 Ph: (207) 356-5387	Kelly Bourgon, OD 412 Main St, Longmont, CO 80501-5535 Ph: (303) 651-6700

Reviews and Comments

Optometrist in Longmont, CO

Myeyedr Optometry Of Colorado Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2130 Mountain View Ave Ste 207, Longmont, CO 80501 Phone: 303-772-2755 Fax: 303-773-0104
Longmont Vision Center Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 412 Main St, Longmont, CO 80501 Phone: 303-651-6700 Fax: 303-776-9193
Havrilla Vision Professional Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 551 S Hover St, Longmont, CO 80501 Phone: 970-629-1325
Dr. Sara S Heffler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1319 Vivian St, Longmont, CO 80501 Phone: 303-772-3611 Fax: 303-772-3609
Ashley Vu, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 S Hover St, Longmont, CO 80501 Phone: 970-439-2065
Focus Point Consulting Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 S Hover St Ste 34, Longmont, CO 80501 Phone: 303-678-5345 Fax: 970-833-5510
Longmont Eyecare, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2285 E Ken Pratt Blvd, Longmont, CO 80504 Phone: 720-652-0455

Kelly Bourgon, OD - Medicare Optometrist in Longmont, CO