Amy Nicole Bourland, PT in Fort Worth, TX - Medicare Physical Therapist Provider

Amy Nicole Bourland, PT is a medicare enrolled "Physical Therapist" provider in Fort Worth, Texas. Her current practice location is 7277 Hawkins View Dr, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 423-5611.

Amy Nicole Bourland is licensed to practice in Texas (license number 1226977) 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 1073940201.

Contact Information

	Amy Nicole Bourland, PT
	7277 Hawkins View Dr, Fort Worth, TX 76132-3921
	(817) 423-5611
	(817) 423-5577

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Nicole Bourland
Gender	Female
Speciality	Physical Therapist
Location	7277 Hawkins View Dr, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073940201
Provider Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013

Medicare PECOS Information:

PECOS PAC ID: 9335505486
Enrollment ID: I20230516003061

Medical Identifiers

Medical identifiers for Amy Nicole Bourland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073940201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1226977 (Texas)	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. Amy Nicole Bourland allows following entities to bill medicare on her behalf.

Provider Name	Endeavor Rehab Center Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1760506232 PECOS PAC ID: 6800989369 Enrollment ID: O20070829000910

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. Amy Nicole Bourland 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
Amy Nicole Bourland, PT 7277 Hawkins View Dr, Fort Worth, TX 76132-3921 Ph: (817) 423-5611	Amy Nicole Bourland, PT 7277 Hawkins View Dr, Fort Worth, TX 76132-3921 Ph: (817) 423-5611

Reviews and Comments

Physical Therapist in Fort Worth, TX

Dr. Kenneth Lawrence Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Camp Bowie Blvd, Fort Worth, TX 76107 Phone: 817-735-5466
Benjamin Cheevers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4108 Boat Club Rd, Fort Worth, TX 76135 Phone: 817-370-9891
Mrs. Danieta Kay Grissman, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12460 Woods Edge Trl, Fort Worth, TX 76244 Phone: 817-637-0368
Christina Thompson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6501 Harris Pkwy, Fort Worth, TX 76132 Phone: 817-370-9891 Fax: 817-370-9894
Dennis J Curnyn, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4750 Bryant Irvin Rd N, Fort Worth, TX 76107 Phone: 817-923-9000 Fax: 817-923-9033
Marcia G Mckay, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4395 Fax: 817-569-4517
Lacey Jo Hope, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5316 Trail Lake Dr, Fort Worth, TX 76133 Phone: 817-292-8787 Fax: 817-789-6849

Amy Nicole Bourland, PT - Medicare Physical Therapist in Fort Worth, TX