Theoram Michael Boone, FNP-C in Keizer, OR - Medicare Nurse Practitioner

Theoram Michael Boone, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Keizer, Oregon. His current practice location is 5940 Ulali Dr Ne, Keizer, Oregon. You can reach out to his office (for appointments etc.) via phone at (800) 813-2000.

Theoram Michael Boone is licensed to practice in Oregon (license number 10005506) 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 1376320077.

Contact Information

	Theoram Michael Boone, FNP-C
	5940 Ulali Dr Ne, Keizer, OR 97303-1500
	(800) 813-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Theoram Michael Boone
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5940 Ulali Dr Ne, Keizer, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376320077
Provider Enumeration Date: 09/14/2023
Last Update Date: 09/14/2023

Medicare PECOS Information:

PECOS PAC ID: 4183071210
Enrollment ID: I20231113000634

Medical Identifiers

Medical identifiers for Theoram Michael Boone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376320077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10005506 (Oregon)	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. Theoram Michael Boone allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Theoram Michael 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
Theoram Michael Boone, FNP-C 485 Nw Coast Mountain Dr, Dallas, OR 97338-2549 Ph: (715) 204-5251	Theoram Michael Boone, FNP-C 5940 Ulali Dr Ne, Keizer, OR 97303-1500 Ph: (800) 813-2000

Reviews and Comments

Nurse Practitioner Nurses in Keizer, OR

Nancy J Yankovic, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4380 Cherry Ave Ne, Keizer, OR 97303 Phone: 907-841-0849
Jennifer Louise Lee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 River Rd N, Keizer, OR 97303 Phone: 503-933-2533
Sarah Jane Duval, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3787 River Road N, Suite A, Keizer, OR 97303 Phone: 503-581-8175 Fax: 503-589-9274
Melissa Ann Emori, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5100 River Rd N, Keizer, OR 97303 Phone: 503-393-2533
Janet Arlene Matthews, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5300 River Rd N, Keizer, OR 97303 Phone: 503-877-6539
Tundike Gore, DNP, PMHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5305 River Rd N Ste B, Keizer, OR 97303 Phone: 972-765-7168
Mrs. Penny Lee Satre, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5685 Inland Shores Way N, Keizer, OR 97303 Phone: 503-779-2271

Theoram Michael Boone, FNP-C - Medicare Nurse Practitioner in Keizer, OR