| Dr Boonkit Purt, MD | |
|
9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | |
| (253) 968-1760 | |
| Not Available |
| Full Name | Dr Boonkit Purt |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 10 Years |
| Location | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376903377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 01078922A (Indiana) | Secondary |
| 208D00000X | General Practice | 01078922A (Indiana) | Secondary |
| 207W00000X | Ophthalmology | MD61576249 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peak Retina Pllc | 5496191462 | 2 |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Peak Retina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881474690 PECOS PAC ID: 5496191462 Enrollment ID: O20240313000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Boonkit Purt, MD 9040 Jackson Avenue, Tacoma, WA 98431-0001 Ph: (301) 295-1339 | Dr Boonkit Purt, MD 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (253) 968-1760 |
Natalie Husa, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-0369 | |
Dr. James Bailey, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9040 A Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-241-6725 | |
Juan Diego Fernandez, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 952-270-0066 |