Mr Thanapoom Boonipat, in Fort Worth, TX - Medicare Plastic Surgery

Mr Thanapoom Boonipat, is a medicare enrolled "Plastic Surgery" physician in Fort Worth, Texas. His current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-1100.

Mr Thanapoom Boonipat is licensed to practice in Texas (license number U9214) 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 1154852705.

Contact Information

	Mr Thanapoom Boonipat,
	1500 S Main St, Fort Worth, TX 76104-4917
	(817) 702-1100
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Thanapoom Boonipat
Gender	Male
Speciality	Plastic Surgery
Location	1500 S Main St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154852705
Provider Enumeration Date: 03/24/2017
Last Update Date: 12/20/2024

Medicare PECOS Information:

PECOS PAC ID: 8426320151
Enrollment ID: I20240515000122

Medical Identifiers

Medical identifiers for Mr Thanapoom Boonipat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154852705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	28451 (Minnesota)	Secondary
208200000X	Plastic Surgery	64276 (Minnesota)	Secondary
208200000X	Plastic Surgery	U9214 (Texas)	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. Mr Thanapoom Boonipat allows following entities to bill medicare on his behalf.

Entity Name	Boonipat Craniofacial And Facial Plastic Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588419188 PECOS PAC ID: 3779924212 Enrollment ID: O20240515000097

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. Mr Thanapoom Boonipat 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
Mr Thanapoom Boonipat, Po Box 732973, Dallas, TX 75373-2973 Ph: () -	Mr Thanapoom Boonipat, 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1100

Reviews and Comments

Plastic Surgery Doctors in Fort Worth, TX

Theodore William Nagel, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave Ste 265, Fort Worth, TX 76104 Phone: 682-200-8580 Fax: 682-200-8581
Dr. Juan Carlos Martinez Grullon, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1250 8th Ave Ste 265, Fort Worth, TX 76104 Phone: 682-200-8580 Fax: 682-200-8581
Dr. Steven M Camp, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3455 Locke Avenue, Suite 320, Fort Worth, TX 76107 Phone: 817-228-4315 Fax: 682-316-3049
Dr. Mark Anthony Daniels, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 12th Ave Ste 100, Fort Worth, TX 76104 Phone: 817-810-0770 Fax: 817-820-0242
Eric Heinz Hubli, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2500 Fax: 682-885-2510
Dr. Dennis I Schuster, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 747 8th Ave, Fort Worth, TX 76104 Phone: 817-335-6801 Fax: 817-335-4663

Mr Thanapoom Boonipat, - Medicare Plastic Surgery in Fort Worth, TX