Dr Teri T Boon, MD in Yucaipa, CA - Medicare Family Medicine

Dr Teri T Boon, MD is a medicare enrolled "Family Medicine" physician in Yucaipa, California. Her current practice location is 33758 Yucaipa Blvd, Yucaipa, California. You can reach out to her office (for appointments etc.) via phone at (909) 797-9747.

Dr Teri T Boon is licensed to practice in California (license number G64151) 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 1114962792.

Contact Information

	Dr Teri T Boon, MD
	33758 Yucaipa Blvd, Yucaipa, CA 92399-2243
	(909) 797-9747
	(909) 795-1191

Map and Direction

Physician's Profile

Full Name	Dr Teri T Boon
Gender	Female
Speciality	Family Medicine
Location	33758 Yucaipa Blvd, Yucaipa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114962792
Provider Enumeration Date: 06/18/2006
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7315007192
Enrollment ID: I20090529000149

Medical Identifiers

Medical identifiers for Dr Teri T Boon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114962792	NPI	-	NPPES
00G641510	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G64151 (California)	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. Dr Teri T Boon allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Dr Teri T 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
Dr Teri T Boon, MD Po Box 2200, Redlands, CA 92373-0722 Ph: (909) 795-9747	Dr Teri T Boon, MD 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 Ph: (909) 797-9747

Reviews and Comments

Family Medicine Doctors in Yucaipa, CA

Tonya Ann Yoney, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Khwaja Ali Siddiqui, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 34845 Yucaipa Blvd, Ste A, Yucaipa, CA 92399 Phone: 909-790-1837 Fax: 909-790-5878
Victor Salib, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747 Fax: 909-797-3922
Rachael Suzanne Tennant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Mina Sameh Sobhy Soliman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 562-417-1194
Dr. Pranav Raghuvir Mehta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12047 4th St, Yucaipa, CA 92399 Phone: 909-797-5101 Fax: 909-797-5103

Dr Teri T Boon, MD - Medicare Family Medicine in Yucaipa, CA