Mr Phanthavong Boon, RN, CRNA in Fort Riley, KS - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Phanthavong Boon, RN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Riley, Kansas. He went to Missouri Medical College and graduated in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sweet Dreams Anesthesia Inc, Anesthesia Associates Of Topeka Pa and his current practice location is 650 Huebner Rd, Fort Riley, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 239-7000.

Mr Phanthavong Boon is licensed to practice in Virginia (license number 24179395) 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 1184607285.

Contact Information

	Mr Phanthavong Boon, RN, CRNA
	650 Huebner Rd, Fort Riley, KS 66442-4030
	(785) 239-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Phanthavong Boon
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	2 Years
Location	650 Huebner Rd, Fort Riley, Kansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Phanthavong Boon attended and graduated from Missouri Medical College in 2022

NPI Data:

NPI Number: 1184607285
Provider Enumeration Date: 11/22/2005
Last Update Date: 02/16/2022

Medicare PECOS Information:

PECOS PAC ID: 1052711157
Enrollment ID: I20210610003059

Medical Identifiers

Medical identifiers for Mr Phanthavong Boon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184607285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	202201644RN (Oregon)	Secondary
163W00000X	Registered Nurse	14-153121-072 (Kansas)	Secondary
163W00000X	Registered Nurse	0001186892 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	43-557812-072 (Kansas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	24179395 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Stormont Vail Hospital	Topeka, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sweet Dreams Anesthesia Inc	0042477705	41
Anesthesia Associates Of Topeka Pa	5698675437	48

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 Phanthavong Boon allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Associates Of Topeka Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518933837 PECOS PAC ID: 5698675437 Enrollment ID: O20040109000467

Entity Name	Sweet Dreams Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20191206000961

Entity Name	Clinical Colleagues Ks Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548813967 PECOS PAC ID: 3870921984 Enrollment ID: O20200323002520

Entity Name	Herington Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447829536 PECOS PAC ID: 8527469188 Enrollment ID: O20210713002964

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 Phanthavong Boon 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 Phanthavong Boon, RN, CRNA 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-7000	Mr Phanthavong Boon, RN, CRNA 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-7000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Riley, KS

Jason A Perez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Huebner Rd., Fort Riley, KS 66442 Phone: 785-239-7667
Nicholas Adam Isakson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7151 Fax: 785-240-7438
Mrs. Christel Lynn Labarge Burke, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-802-5216
Maevelyn Andalis O'donnell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 337-378-5585
Dennis W Armstrong, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-240-7106
Mrs. Heather Lynnette Frisbie, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7151

Mr Phanthavong Boon, RN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Riley, KS