Trevor Boon, in Colorado Springs, CO - Medicare Psychologist Provider

Trevor Boon, is a medicare enrolled "Psychologist - Clinical" provider in Colorado Springs, Colorado. His current practice location is 1115 Elkton Dr Ste 102, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 357-6471.

Trevor Boon is licensed to practice in Colorado (license number PSY.0005830) 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 1972271716.

Contact Information

	Trevor Boon,
	1115 Elkton Dr Ste 102, Colorado Springs, CO 80907-3597
	(719) 357-6471
	(719) 434-9811

Map and Direction

Healthcare Provider's Profile

Full Name	Trevor Boon
Gender	Male
Speciality	Psychologist - Clinical
Location	1115 Elkton Dr Ste 102, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972271716
Provider Enumeration Date: 09/04/2021
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 4688040959
Enrollment ID: I20221012001827

Medical Identifiers

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

Identifier	Type	State	Issuer
1972271716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	32822 (California)	Secondary
103TC0700X	Psychologist - Clinical	PSY.0005830 (Colorado)	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. Trevor Boon allows following entities to bill medicare on his behalf.

Entity Name	Colorado Springs Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982074969 PECOS PAC ID: 0446550024 Enrollment ID: O20151203002782

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. Trevor 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
Trevor Boon, 5184 Via Valarta, San Diego, CA 92124-1564 Ph: () -	Trevor Boon, 1115 Elkton Dr Ste 102, Colorado Springs, CO 80907-3597 Ph: (719) 357-6471

Reviews and Comments

Psychologist in Colorado Springs, CO

Magdalene L Lim, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4863 N Nevada Ave, Ste 321, Colorado Springs, CO 80918 Phone: 719-255-8002 Fax: 719-255-8006
Justina Kropp, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1229 Lake Plaza Dr Ste A, Colorado Springs, CO 80906 Phone: 719-900-1301 Fax: 719-735-4952
Sean Kelly, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4465 Northpark Dr Ste 309, Colorado Springs, CO 80907 Phone: 719-464-3163 Fax: 719-452-3713
Kelly Laird-gillespie, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1802 Chapel Hills Dr Ste C, Colorado Springs, CO 80920 Phone: 719-695-0131
Roy Leon Hill, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 716 N Tejon St, Ste 9, Colorado Springs, CO 80903 Phone: 719-598-7800
Megan Lee Houk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1115 Elkton Dr Ste 102, Colorado Springs, CO 80907 Phone: 719-357-6471
Dr. William R Dove, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 224 E Willamette Ave, Colorado Springs, CO 80903 Phone: 719-632-4812 Fax: 719-389-6928

Trevor Boon, - Medicare Psychologist in Colorado Springs, CO