Ryan Bourdon, MD - Medicare Emergency Medicine in Saint Paul, MN

Ryan Bourdon, MD is a medicare enrolled "Emergency Medicine" physician in Saint Paul, Minnesota. His current practice location is 640 Jackson St, Mc 11102f, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-3666.

Ryan Bourdon is licensed to practice in Minnesota (license number 57524) 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 1194011148.

Contact Information

Ryan Bourdon, MD
640 Jackson St, Mc 11102f,
Saint Paul, MN 55101-2502
(651) 254-3666
Not Available



Physician's Profile

Full NameRyan Bourdon
GenderMale
SpecialityEmergency Medicine
Location640 Jackson St, Saint Paul, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194011148
  • Provider Enumeration Date: 06/28/2011
  • Last Update Date: 05/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496978769
  • Enrollment ID: I20140514001858

Medical Identifiers

Medical identifiers for Ryan Bourdon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194011148NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 61856-20 (Wisconsin)Secondary
207P00000XEmergency Medicine 57524 (Minnesota)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. Ryan Bourdon allows following entities to bill medicare on his behalf.
Entity NameHudson Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396849303
PECOS PAC ID: 0648183061
Enrollment ID: O20031121000807

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Entity NameAmery Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20040131000207

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Entity NameSt. Croix Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20040205000217

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Entity NameWestfields Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881640183
PECOS PAC ID: 2264490960
Enrollment ID: O20090122000350

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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. Ryan Bourdon 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
Ryan Bourdon, MD
640 Jackson St, Mc 11102f,
Saint Paul, MN 55101-2502

Ph: (651) 254-3666
Ryan Bourdon, MD
640 Jackson St, Mc 11102f,
Saint Paul, MN 55101-2502

Ph: (651) 254-3666

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Emergency Medicine Doctors in Saint Paul, MN

Dr. Katherine Glasrud, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 333 Smith Ave N, Saint Paul, MN 55102
Phone: 612-863-6590    
Dr. Brian Thomas Gooley, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 333 Smith Ave N, Saint Paul, MN 55102
Phone: 651-241-8755    
Gerald Fred Peterson, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 333 Smith Ave N, Saint Paul, MN 55102
Phone: 651-241-8755    Fax: 651-241-7154
Samantha Anne Wen, PA
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 333 Smith Ave N, United Hospital, Saint Paul, MN 55102
Phone: 612-241-8755    
Benjamin J Peake, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 600 Jackson St, Saint Paul, MN 55101
Phone: 651-254-3666    
Dr. Andrew Richard Zinkel, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 640 Jackson St, 11102f, Saint Paul, MN 55101
Phone: 651-254-5211    Fax: 651-254-5216
Emily M Thompson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 Wabasha St S, Saint Paul, MN 55107
Phone: 952-853-8800    Fax: 651-293-8106

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