Ms Miranda L Bourgeois, PT in Columbia, MO - Medicare Physical Therapist Provider

Ms Miranda L Bourgeois, PT is a medicare enrolled "Physical Therapist" provider in Columbia, Missouri. Her current practice location is 3301 Berrywood Dr, Suite 204, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 449-6082.

Ms Miranda L Bourgeois is licensed to practice in Missouri (license number 2001001888) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043339849.

Contact Information

	Ms Miranda L Bourgeois, PT
	3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517
	(573) 449-6082
	Not Available

Healthcare Provider's Profile

Full Name	Ms Miranda L Bourgeois
Gender	Female
Speciality	Physical Therapist
Location	3301 Berrywood Dr, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043339849
Provider Enumeration Date: 03/29/2007
Last Update Date: 03/18/2015

Medicare PECOS Information:

PECOS PAC ID: 8921254913
Enrollment ID: I20120807000459

Medical Identifiers

Medical identifiers for Ms Miranda L Bourgeois such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043339849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3407 (Iowa)	Secondary
225100000X	Physical Therapist	2001001888 (Missouri)	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. Ms Miranda L Bourgeois allows following entities to bill medicare on her behalf.

Provider Name	Encore Rehabilitation Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336896240 PECOS PAC ID: 8123403904 Enrollment ID: O20221114000295

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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. Ms Miranda L Bourgeois 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
Ms Miranda L Bourgeois, PT 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 Ph: (573) 449-6082	Ms Miranda L Bourgeois, PT 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 Ph: (573) 449-6082

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Physical Therapist in Columbia, MO

Kathy Elaine Maxey, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Club Village Dr, Suite 103, Columbia, MO 65203 Phone: 573-256-2777 Fax: 573-256-2764
Carly Zimmerman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 N Keene St, Ste 102, Columbia, MO 65201 Phone: 573-443-0225
Rachel Muenks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3301 Berrywood Dr, Columbia, MO 65201 Phone: 573-449-8771
Peak Performance Physical Therapy & Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3301 Berrywood Dr, Suite 204, Columbia, MO 65201 Phone: 573-449-8771 Fax: 573-449-6563
Mrs. Beth Kinser Lewis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N Keene St Ste 102, Columbia, MO 65201 Phone: 573-874-0001 Fax: 573-449-3278
Noah Brayden Cunningham, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10 W Nifong Blvd Ste 121, Columbia, MO 65203 Phone: 573-442-5268

Ms Miranda L Bourgeois, PT - Medicare Physical Therapist in Columbia, MO

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Physical Therapist in Columbia, MO