Kevin Raymond Bourgeois Jr, DO - Medicare Emergency Medicine in Gulfport, MS

Kevin Raymond Bourgeois Jr, DO is a medicare enrolled "Emergency Medicine" physician in Gulfport, Mississippi. His current practice location is 4500 13th St, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 865-3151.

Kevin Raymond Bourgeois Jr is licensed to practice in Mississippi (license number 27785) 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 1437646239.

Contact Information

Kevin Raymond Bourgeois Jr, DO
4500 13th St,
Gulfport, MS 39501-2515
(228) 865-3151
Not Available



Physician's Profile

Full NameKevin Raymond Bourgeois Jr
GenderMale
SpecialityEmergency Medicine
Location4500 13th St, Gulfport, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437646239
  • Provider Enumeration Date: 04/17/2018
  • Last Update Date: 02/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840549499
  • Enrollment ID: I20230301003046

Medical Identifiers

Medical identifiers for Kevin Raymond Bourgeois Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437646239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 325332 (Louisiana)Secondary
207P00000XEmergency Medicine 27785 (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. Kevin Raymond Bourgeois Jr allows following entities to bill medicare on his behalf.
Entity NameSlidell Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295158418
PECOS PAC ID: 1254562663
Enrollment ID: O20140328000931

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› Verified 6 days ago

Entity NameBelle Chasse Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851714075
PECOS PAC ID: 7113140070
Enrollment ID: O20140521001580

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› Verified 6 days ago

Entity NameVincent Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740816917
PECOS PAC ID: 0840621926
Enrollment ID: O20200505000479

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› Verified 6 days ago

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. Kevin Raymond Bourgeois Jr 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
Kevin Raymond Bourgeois Jr, DO
4500 13th St,
Gulfport, MS 39501-2515

Ph: (228) 865-3151
Kevin Raymond Bourgeois Jr, DO
4500 13th St,
Gulfport, MS 39501-2515

Ph: (228) 865-3151

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› Verified 6 days ago


Emergency Medicine Doctors in Gulfport, MS

William H. Grover, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-865-3151    Fax: 228-867-4124
Mr. Charlton Paige Dennison, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11446 Ashton Ln E, Gulfport, MS 39503
Phone: 205-344-2044    
David Sawyer, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-865-3151    Fax: 228-867-4124
Dr. Debra Ann Hebert, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7120    Fax: 228-575-7103
Zackary Fordham, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4500 13th St, Gulfport, MS 39502
Phone: 601-672-3173    
Dr. Martha Ann Dempsey, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1800 Beach Dr, Gulfport, MS 39507
Phone: 228-897-4450    Fax: 228-897-4450
Dr. Drew Weber, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    

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