Boonphiphop Boonpheng, MD in Cookeville, TN - Medicare Internal Medicine

Boonphiphop Boonpheng, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Cookeville, Tennessee. His current practice location is 117 N Hickory Ave Ste 200, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 646-0880.

Boonphiphop Boonpheng is licensed to practice in Tennessee (license number 64918) 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 1659723104.

Contact Information

	Boonphiphop Boonpheng, MD
	117 N Hickory Ave Ste 200, Cookeville, TN 38501-2424
	(931) 646-0880
	(866) 834-5618

Map and Direction

Physician's Profile

Full Name	Boonphiphop Boonpheng
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	117 N Hickory Ave Ste 200, Cookeville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659723104
Provider Enumeration Date: 07/08/2016
Last Update Date: 09/22/2022

Medicare PECOS Information:

PECOS PAC ID: 6800270414
Enrollment ID: I20220831002002

Medical Identifiers

Medical identifiers for Boonphiphop Boonpheng such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659723104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	64918 (Tennessee)	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. Boonphiphop Boonpheng allows following entities to bill medicare on his behalf.

Entity Name	Cumberland Kidney Specialist
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922248756 PECOS PAC ID: 9931257771 Enrollment ID: O20090504000659

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. Boonphiphop Boonpheng 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
Boonphiphop Boonpheng, MD 117 N Hickory Ave Ste 200, Cookeville, TN 38501-2424 Ph: (931) 646-0880	Boonphiphop Boonpheng, MD 117 N Hickory Ave Ste 200, Cookeville, TN 38501-2424 Ph: (931) 646-0880

Reviews and Comments

Internal Medicine Doctors in Cookeville, TN

Scott F Reising, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 228 W. 4th Street, Suite 200, Cookeville, TN 38501 Phone: 931-372-0405 Fax: 931-372-0463
Stacy David Brewington, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 228 W. 4th Street, Suite 200, Cookeville, TN 38501 Phone: 931-372-0405 Fax: 931-372-0463
Mark Arden Pierce, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 145 W 4th St, Suite 201, Cookeville, TN 38501 Phone: 931-783-2902 Fax: 931-783-2219
Michael Blaine Lenhart, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 228 West 4th St, Suite 200, Cookeville, TN 38501 Phone: 931-372-0405 Fax: 931-372-0463
Dr. Toney Britton Hudson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 315 N Washington Ave, Ste 165, Cookeville, TN 38501 Phone: 931-526-1604 Fax: 931-526-7378
James Chike Ezi-ashi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 438 N Whitney Ave, Cookeville, TN 38501 Phone: 931-783-2616 Fax: 931-783-2610
Dr. Brian Keith Dockery, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 228 W 4th St, Suite 200, Cookeville, TN 38501 Phone: 931-372-0405 Fax: 931-372-0463

Boonphiphop Boonpheng, MD - Medicare Internal Medicine in Cookeville, TN