Dr Boonkit Purt, MD | |
9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | |
(253) 968-1760 | |
Not Available |
Full Name | Dr Boonkit Purt |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 8 Years |
Location | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376903377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 4301506272 (Michigan) | Secondary |
208D00000X | General Practice | 01078922A (Indiana) | Secondary |
207W00000X | Ophthalmology | 01078922A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Michigan Health System | Ann arbor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The University Of Michigan | 3779496856 | 2916 |
Entity Name | Regents Of The University Of Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568495299 PECOS PAC ID: 3779496856 Enrollment ID: O20031118000092 |
Mailing Address | Practice Location Address |
---|---|
Dr Boonkit Purt, MD 9040 Jackson Avenue, Tacoma, WA 98431-0001 Ph: (301) 295-1339 | Dr Boonkit Purt, MD 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (253) 968-1760 |
Natalie Husa, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-0369 | |
Dr. James Bailey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9040 A Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-241-6725 | |
Juan Diego Fernandez, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 952-270-0066 |