Randolph Bourne, MD - Medicare Obstetrics/gynecology in Edmonds, WA

Randolph Bourne, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Edmonds, Washington. He went to Vanderbilt University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Swedish Health Services and his current practice location is 21616 76th Ave W Ste 205, Edmonds, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 640-4810.

Randolph Bourne is licensed to practice in Washington (license number MD00047603) 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 1881735736.

Contact Information

Randolph Bourne, MD
21616 76th Ave W Ste 205,
Edmonds, WA 98026-7512
(425) 640-4810
(425) 640-4884



Physician's Profile

Full NameRandolph Bourne
GenderMale
SpecialityObstetrics/gynecology
Experience21 Years
Location21616 76th Ave W Ste 205, Edmonds, Washington
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:
  • Randolph Bourne attended and graduated from Vanderbilt University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1881735736
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 10/10/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6800987058
  • Enrollment ID: I20070802000432

Medical Identifiers

Medical identifiers for Randolph Bourne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881735736NPI-NPPES
8483646MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD00047603 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish Edmonds HospitalEdmonds, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Swedish Health Services0244138196834

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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. Randolph Bourne allows following entities to bill medicare on his behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789

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Entity NameSwedish Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689612954
PECOS PAC ID: 0244138196
Enrollment ID: O20031230000187

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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. Randolph 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
Randolph Bourne, MD
21616 76th Ave W Ste 205,
Edmonds, WA 98026-7512

Ph: (425) 640-4810
Randolph Bourne, MD
21616 76th Ave W Ste 205,
Edmonds, WA 98026-7512

Ph: (425) 640-4810

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Obstetrics & Gynecology Doctors in Edmonds, WA

Carolyn Kay, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 21616 76th Ave W Ste 205, Edmonds, WA 98026
Phone: 425-640-4810    Fax: 425-640-4884
Vijaytha Rathnam, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 21616 76th Ave W Ste Edmonds, Edmonds, WA 98026
Phone: 425-640-4810    Fax: 425-640-4884
Chad Baldo Thomas, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 21616 76th Ave W Ste 205, Edmonds, WA 98026
Phone: 425-640-4810    Fax: 425-640-4884
Roger D Shelton, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 7315 212th St Sw, #204, Edmonds, WA 98026
Phone: 425-771-3311    Fax: 425-775-9844
Rona Ding, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 21616 76th Ave W Ste 205, Edmonds, WA 98026
Phone: 425-640-4810    Fax: 425-640-4884
Debora Ingersoll Sciscoe, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 7315 212th St Sw, Suite 101, Edmonds, WA 98026
Phone: 425-775-9474    Fax: 425-670-3554
Anna Marie Haring, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 21616 76th Ave W Ste 205, Edmonds, WA 98026
Phone: 425-640-4810    Fax: 425-640-4884

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