Thomas Boenig, MD is a
Specialist/technologist, Other - Surgical Assistant physician based in Urbana, Illinois. Thomas Boenig is licensed to practice in Illinois (license number 238.000284) and his current practice location is 401 W. Park St.. #2, Urbana, Illinois. He can be reached at his office (for appointments etc.) via phone at
(360) 201-2007.
NPI number for Thomas Boenig is 1457527509 and his current mailing address is 401 W Park St Apt 2, Urbana, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457527509.
Physician's Profile
Full Name | Thomas Boenig |
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Gender | Male |
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Speciality | Specialist/technologist, Other - Surgical Assistant |
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Location | 401 W. Park St.. #2, Urbana, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457527509
- Provider Enumeration Date: 05/07/2008
- Last Update Date: 08/29/2011
Medical Identifiers
Medical identifiers for Thomas Boenig such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457527509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 0101245602 (Virginia) | Secondary |
246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 238.000284 (Illinois) | Primary |
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. Thomas Boenig is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Thomas Boenig, MD 401 W Park St Apt 2, Urbana, IL 61801-1790 Ph: (360) 201-2007 | Thomas Boenig, MD 401 W. Park St.. #2, Urbana, IL 61801-1790 Ph: (360) 201-2007 |
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