Dr Zachary C Booms, DO - Medicare Emergency Medicine in Fort Campbell, KY

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Dr Zachary C Booms, DO is a medicare enrolled "Emergency Medicine" physician in Fort Campbell, Kentucky. His current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 798-3263.

Dr Zachary C Booms is licensed to practice in Tennessee (license number 3614) 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 1851664320.

Contact Information

Dr Zachary C Booms, DO
650 Joel Dr,
Fort Campbell, KY 42223-5318
(270) 798-3263
Not Available

Map and Direction




Physician's Profile

Full NameDr Zachary C Booms
GenderMale
SpecialityEmergency Medicine
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851664320
  • Provider Enumeration Date: 02/14/2012
  • Last Update Date: 05/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2365754926
  • Enrollment ID: I20190819003802

Medical Identifiers

Medical identifiers for Dr Zachary C Booms such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851664320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 0102203522 (Virginia)Secondary
207P00000XEmergency Medicine T1651 (Texas)Secondary
207P00000XEmergency Medicine 3614 (Tennessee)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 Zachary C Booms allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997

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 Zachary C Booms 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 AddressPractice Location Address
Dr Zachary C Booms, DO
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (270) 798-8400		Dr Zachary C Booms, DO
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (270) 798-3263

Reviews and Comments


Emergency Medicine Doctors in Fort Campbell, KY

Dr. Gary Lee Eberly, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8500    
Frances Gill, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-461-0127    
Ned Zagajac, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 646-827-9781    
Steven Tanksley, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-956-4498    
Dr. Anthony Wade Jones, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Credentialing Office, Fort Campbell, KY 42223
Phone: 210-916-2460    
Dr. Joseph Jude,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8727    
Dr. George Nelson Appenzeller, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223
Phone: 270-798-8041    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.