Dr David R Bourque, DDS in Akron, NY - Medicare Dentist Provider

Dr David R Bourque, DDS is a medicare enrolled "Dentist - General Practice" provider in Akron, New York. His current practice location is 57 Main St, Akron, New York. You can reach out to his office (for appointments etc.) via phone at (716) 542-2895.

Dr David R Bourque is licensed to practice in New York (license number 37469) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427050624.

Contact Information

	Dr David R Bourque, DDS
	57 Main St, Akron, NY 14001-1239
	(716) 542-2895
	(716) 542-6921

Healthcare Provider's Profile

Full Name	Dr David R Bourque
Gender	Male
Speciality	Dentist - General Practice
Location	57 Main St, Akron, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427050624
Provider Enumeration Date: 06/01/2005
Last Update Date: 01/14/2013

Medicare PECOS Information:

PECOS PAC ID: 2163749722
Enrollment ID: I20150320000032

Medical Identifiers

Medical identifiers for Dr David R Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427050624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	37469 (New York)	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. Dr David R Bourque 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
Dr David R Bourque, DDS 57 Main St, Akron, NY 14001-1239 Ph: (716) 542-2895	Dr David R Bourque, DDS 57 Main St, Akron, NY 14001-1239 Ph: (716) 542-2895

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Dentist in Akron, NY

Dr. Howard C Nichols, DENTIST DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 165 Main St, Akron, NY 14001 Phone: 716-542-2521 Fax: 716-542-2521
Dr. Todd R. Daigler, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 10 Main St., Akron, NY 14001 Phone: 716-542-2521 Fax: 716-433-6029

Dr David R Bourque, DDS - Medicare Dentist in Akron, NY