Russell A Bourne Jr, PHD - Psychologist in Jupiter, FL

Russell A Bourne Jr, PHD is a Psychologist - Clinical based in Jupiter, Florida. Russell A Bourne Jr is licensed to practice in Florida (license number PY5579) and his current practice location is 1025 Military Trl, Suite 113, Jupiter, Florida. He can be reached at his office (for appointments etc.) via phone at (561) 748-2889.

NPI number for Russell A Bourne Jr is 1134166762 and his current mailing address is 35 Ocean Dr, Tequesta, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134166762.

Contact Information

Russell A Bourne Jr, PHD
1025 Military Trl, Suite 113,
Jupiter, FL 33458-7040
(561) 748-2889
(561) 748-1523

Map and Direction




Healthcare Provider's Profile

Full NameRussell A Bourne Jr
GenderMale
SpecialityPsychologist - Clinical
Location1025 Military Trl, Jupiter, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134166762
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Russell A Bourne Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134166762NPI-NPPES
54097OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY5579 (Florida)Primary

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. Russell A Bourne Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russell A Bourne Jr, PHD
35 Ocean Dr,
Tequesta, FL 33469-3512

Ph: (561) 748-2889
Russell A Bourne Jr, PHD
1025 Military Trl, Suite 113,
Jupiter, FL 33458-7040

Ph: (561) 748-2889

Reviews and Comments


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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.

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