Dr Douglas Michael Bourque, MD - Medicare Obstetrics/gynecology in Baltimore, MD

Dr Douglas Michael Bourque, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Baltimore, Maryland. He went to Georgetown University School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Baltimore Medical System, Inc., Johns Hopkins University and his current practice location is 3509 Eastern Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 558-4900.

Dr Douglas Michael Bourque is licensed to practice in Maryland (license number 030359) 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 1427054907.

Contact Information

Dr Douglas Michael Bourque, MD
3509 Eastern Ave,
Baltimore, MD 21224
(410) 558-4900
(410) 522-1475



Physician's Profile

Full NameDr Douglas Michael Bourque
GenderMale
SpecialityObstetrics/gynecology
Experience44 Years
Location3509 Eastern Ave, Baltimore, Maryland
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 Douglas Michael Bourque attended and graduated from Georgetown University School Of Medicine in 1980
  NPI Data:
  • NPI Number: 1427054907
  • Provider Enumeration Date: 06/21/2005
  • Last Update Date: 03/28/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6103015946
  • Enrollment ID: I20110111000232

Medical Identifiers

Medical identifiers for Dr Douglas Michael Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427054907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 030359 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johns Hopkins Hospital, TheBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baltimore Medical System, Inc.539565345551
Johns Hopkins University89219031472692

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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 Douglas Michael Bourque allows following entities to bill medicare on his behalf.
Entity NameBaltimore Medical System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700882503
PECOS PAC ID: 5395653455
Enrollment ID: O20031121000651

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Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719

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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. Dr Douglas Michael 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 AddressPractice Location Address
Dr Douglas Michael Bourque, MD
3509 Eastern Ave,
Baltimore, MD 21224

Ph: (410) 558-4900
Dr Douglas Michael Bourque, MD
3509 Eastern Ave,
Baltimore, MD 21224

Ph: (410) 558-4900

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Obstetrics & Gynecology Doctors in Baltimore, MD

Miss Elizabeth Unique Morris, MSN, WHNP-BC
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 330 N Howard St, Baltimore, MD 21201
Phone: 410-576-1414    
Christine E. O Connor, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 227 Saint Paul St, 6th Floor, Baltimore, MD 21202
Phone: 410-332-9002    Fax: 410-783-5880
Fateh Hraky Sr.,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3001 S Hanover St, Suite 301, Baltimore, MD 21225
Phone: 410-350-0800    
Joyce A Bonsu, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3449 Wilkens Ave Ste 305, Baltimore, MD 21229
Phone: 410-644-2582    Fax: 410-644-6232
Fouad M Abbas,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2411 W Belvedere Ave, Suite 206, Baltimore, MD 21215
Phone: 410-601-9030    
Dr. Ginny M Merryman, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6569 N Charles St, Suite 501, Baltimore, MD 21204
Phone: 410-938-8960    Fax: 410-583-9770
Dr. Golsa Mirmiran Yazdy, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4940 Eastern Ave Bldg A1, Baltimore, MD 21224
Phone: 410-550-0337    Fax: 410-550-0196

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