Armanda L Bourne, PT is a medicare enrolled "Physical Therapist" provider in Monticello, Mississippi. Her current practice location is
314 Main St Ste C, Monticello, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 587-2563.
Armanda L Bourne is licensed to practice in Mississippi (license number PT7650) 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 1760259212.
Healthcare Provider's Profile
| Full Name | Armanda L Bourne |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 314 Main St Ste C, Monticello, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760259212
- Provider Enumeration Date: 12/05/2023
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173974771
- Enrollment ID: I20240108005901
Medical Identifiers
Medical identifiers for Armanda L Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760259212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT7650 (Mississippi) | 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. Armanda L Bourne allows following entities to bill medicare on her behalf.
| Provider Name | Tri Therapy Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1023280468
PECOS PAC ID: 3476613225
Enrollment ID: O20081124000330 |
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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. Armanda L Bourne 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 |
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Armanda L Bourne, PT
Po Box 457,
Monticello, MS 39654-0457
Ph: (601) 587-2563 | Armanda L Bourne, PT
314 Main St Ste C,
Monticello, MS 39654-3702
Ph: (601) 587-2563 |
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