Kwabena A Boateng, MD in Peoria, IL - Medicare Obstetrics & Gynecology

Kwabena A Boateng, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Peoria, Illinois. His current practice location is 2321 N Wisconsin Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 680-7600.

Kwabena A Boateng is licensed to practice in Illinois (license number 036084514) 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 1639215312.

Contact Information

	Kwabena A Boateng, MD
	2321 N Wisconsin Ave, Peoria, IL 61603-5613
	(309) 680-7600
	(309) 681-4681

Map and Direction

Physician's Profile

Full Name	Kwabena A Boateng
Gender	Male
Speciality	Obstetrics & Gynecology
Location	2321 N Wisconsin Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639215312
Provider Enumeration Date: 01/29/2007
Last Update Date: 08/28/2020

Medicare PECOS Information:

PECOS PAC ID: 0345319125
Enrollment ID: I20080520000326

Medical Identifiers

Medical identifiers for Kwabena A Boateng such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639215312	NPI	-	NPPES
036084514	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	036084514 (Illinois)	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. Kwabena A Boateng allows following entities to bill medicare on his behalf.

Entity Name	Genesis Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20060908000380

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. Kwabena A Boateng 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
Kwabena A Boateng, MD 2214 N University St, Peoria, IL 61604-3221 Ph: (309) 680-7669	Kwabena A Boateng, MD 2321 N Wisconsin Ave, Peoria, IL 61603-5613 Ph: (309) 680-7600

Reviews and Comments

Obstetrics & Gynecology Doctors in Peoria, IL

Dr. Michael Leonardi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4911 N Executive Dr, Suite 200, Peoria, IL 61614 Phone: 309-683-6700 Fax: 309-683-6722
Charles Egley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4144
Dr. Pilar Mckay Rainey, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak, Peoria, IL 61634 Phone: 309-655-4163
Gary A Johnson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3000
Mrs. Tamara L. Olt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5401 N Knoxville Ave, Suite 109, Peoria, IL 61614 Phone: 309-692-2805 Fax: 309-692-1913
Dr. Rebecca Jane Byler Dann, M.D., M.P.H. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Illini Dr # 1649, Peoria, IL 61605 Phone: 309-655-3024 Fax: 309-655-3739
Rida W Boulos, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Dept Of Ob / Gyn, 530 Ne Glen Oak, Peoria, IL 61637 Phone: 309-655-3024

Kwabena A Boateng, MD - Medicare Obstetrics & Gynecology in Peoria, IL