MARISSA BOURNIQUE – NPI #1417332131
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

MARISSA BOURNIQUE is a physician located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1417332131 to MARISSA BOURNIQUE on July 23, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 5 years ago on Apr 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARISSA BOURNIQUE below.

NPI Profile for
MARISSA BOURNIQUE

NPI Number
1417332131
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARISSA BOURNIQUE
Primary location
1700 SE HILLMOOR DR
PORT SAINT LUCIE, FL 34952-7539
Phone: (772) 335-9600 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 FL OS15441
207R00000X
- Internal Medicine		 FL UO4447

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARISSA BOURNIQUE is affiliated with the following medical group(s):
  • HOSPITAL
    • JUPITER MEDICAL CENTER
      1210 S OLD DIXIE HWY
      JUPITER, FL 33458
    • ST LUCIE MEDICAL CENTER
      1800 SE TIFFANY AVE
      PORT SAINT LUCIE, FL 34952

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