Phyllis Diane Boone, NP in Grand Rapids, MI - Medicare Nurse Practitioner

Phyllis Diane Boone, NP is a medicare enrolled "Nurse Practitioner" in Grand Rapids, Michigan. Her current practice location is 3600 E Fulton, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 949-4971.

Phyllis Diane Boone is licensed to practice in Michigan (license number 4704108827) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477838845.

Contact Information

	Phyllis Diane Boone, NP
	3600 E Fulton, Grand Rapids, MI 49546-1322
	(616) 949-4971
	Not Available

Map and Direction

Provider's Profile

Full Name	Phyllis Diane Boone
Gender	Female
Speciality	Nurse Practitioner
Location	3600 E Fulton, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477838845
Provider Enumeration Date: 10/18/2011
Last Update Date: 10/18/2011

Medicare PECOS Information:

PECOS PAC ID: 6305019779
Enrollment ID: I20111031000316

Medical Identifiers

Medical identifiers for Phyllis Diane Boone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477838845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704108827 (Michigan)	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. Phyllis Diane Boone allows following entities to bill medicare on her behalf.

Entity Name	Michigan Primary Care Partners P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366497380 PECOS PAC ID: 8527044551 Enrollment ID: O20040629000594

Entity Name	Lakeview Health Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538355144 PECOS PAC ID: 4082799655 Enrollment ID: O20080306000152

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. Phyllis Diane 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
Phyllis Diane Boone, NP Po Box 3140, Grand Rapids, MI 49501-3140 Ph: (616) 459-0898	Phyllis Diane Boone, NP 3600 E Fulton, Grand Rapids, MI 49546-1322 Ph: (616) 949-4971

Reviews and Comments

Nurse Practitioner Nurses in Grand Rapids, MI

Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759

Phyllis Diane Boone, NP - Medicare Nurse Practitioner in Grand Rapids, MI