Kevin Boone, NP is a medicare enrolled "Nurse Practitioner" physician in Lebanon, Indiana. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Witham Memorial Hospital and his current practice location is
2705 N Lebanon St Ste 265, Lebanon, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 485-8830.
Kevin Boone is licensed to practice in Indiana (license number 71003256A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376869669.
Physician's Profile
| Full Name | Kevin Boone |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 2705 N Lebanon St Ste 265, Lebanon, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Boone graduated from medical school in 2010
NPI Data:
- NPI Number: 1376869669
- Provider Enumeration Date: 04/13/2010
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274665393
- Enrollment ID: I20100724000046
Medical Identifiers
Medical identifiers for Kevin Boone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376869669 | NPI | - | NPPES |
| 200985040 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 71003256A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71003256A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Witham Memorial Hospital | 4082523170 | 93 |
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. Kevin Boone allows following entities to bill medicare on his behalf.
| Entity Name | Witham Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083750293
PECOS PAC ID: 4082523170
Enrollment ID: O20040519001402 |
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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. Kevin Boone 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 |
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Kevin Boone, NP
2605 N Lebanon St,
Lebanon, IN 46052-1476
Ph: () - | Kevin Boone, NP
2705 N Lebanon St Ste 265,
Lebanon, IN 46052-8621
Ph: (765) 485-8830 |
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