Dr Michael Ray Bourne, MD - Medicare Podiatrist in Stillwater, MN

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Dr Michael Ray Bourne, MD is a medicare enrolled "Podiatrist" provider in Stillwater, Minnesota. He went to California School Of Podiatric Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Tria Orthopaedic Center Llc, Amery Regional Medical Center Inc and his current practice location is 1500 Curve Crest Blvd W, Stillwater, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 439-1234.

Dr Michael Ray Bourne is licensed to practice in Minnesota (license number 445) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164412649.

Contact Information

Dr Michael Ray Bourne, MD
1500 Curve Crest Blvd W,
Stillwater, MN 55082-6040
(651) 439-1234
(651) 275-3325

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael Ray Bourne
GenderMale
SpecialityPodiatry
Experience36 Years
Location1500 Curve Crest Blvd W, Stillwater, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael Ray Bourne attended and graduated from California School Of Podiatric Medicine in 1988
  NPI Data:
  • NPI Number: 1164412649
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 06/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951357540
  • Enrollment ID: I20050328000193

Medical Identifiers

Medical identifiers for Dr Michael Ray Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164412649NPI-NPPES
164225100MedicaidMN
43222300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 746 (Wisconsin)Secondary
213E00000XPodiatrist 746 (Wisconsin)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 445 (Minnesota)Secondary
213E00000XPodiatrist 445 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Westfields Hospital And ClinicNew richmond, WIHospital
Amery Hospital & ClinicAmery, WIHospital
Lakeview Memorial HospitalStillwater, MNHospital
Hudson HospitalHudson, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tria Orthopaedic Center Llc3173570561362
Amery Regional Medical Center Inc2769391960101

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 Ray Bourne allows following entities to bill medicare on his behalf.
Provider NameGroup Health Plan Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417
Provider NameStillwater Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1558350488
PECOS PAC ID: 9436104510
Enrollment ID: O20050322000615
Provider NameTria Orthopaedic Center Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1518273085
PECOS PAC ID: 3173570561
Enrollment ID: O20110310000999

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 Ray 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 AddressPractice Location Address
Dr Michael Ray Bourne, MD
8170 33rd Ave S # Ms 21110q,
Minneapolis, MN 55425-4516

Ph: () -		Dr Michael Ray Bourne, MD
1500 Curve Crest Blvd W,
Stillwater, MN 55082-6040

Ph: (651) 439-1234

Reviews and Comments


Podiatrist in Stillwater, MN

Dr. Christina Marie Knutson, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082
Phone: 651-439-1234    Fax: 651-439-1547
Foot Care Clnic
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 1940 Greeley St S, Suite 122, Stillwater, MN 55082
Phone: 651-439-5278    

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.