Amanda Susan Boo, PA - Medicare Physician Assistant in Riverside, IL

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Amanda Susan Boo, PA is a medicare enrolled "Physician Assistant - Medical" in Riverside, Illinois. Her current practice location is 2910 Harlem Ave, Riverside, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 447-4267.

Amanda Susan Boo is licensed to practice in Illinois (license number 085006069) 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 1558813907.

Contact Information

Amanda Susan Boo, PA
2910 Harlem Ave,
Riverside, IL 60546-1785
(708) 447-4267
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Susan Boo
GenderFemale
SpecialityPhysician Assistant - Medical
Location2910 Harlem Ave, Riverside, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558813907
  • Provider Enumeration Date: 11/02/2016
  • Last Update Date: 11/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5294015376
  • Enrollment ID: I20161214001096

Medical Identifiers

Medical identifiers for Amanda Susan Boo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558813907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 085006069 (Illinois)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. Amanda Susan Boo allows following entities to bill medicare on her behalf.
Entity NamePremier Internal Medicine Group SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194730713
PECOS PAC ID: 9739104670
Enrollment ID: O20051011000796

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. Amanda Susan Boo 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
Amanda Susan Boo, PA
2910 Harlem Ave,
Riverside, IL 60546-1785

Ph: (708) 447-4267		Amanda Susan Boo, PA
2910 Harlem Ave,
Riverside, IL 60546-1785

Ph: (708) 447-4267

Reviews and Comments


Physician Assistant Nurses in Riverside, IL

Alan D Moses, PA-C
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Practice Location: 353 E Burlington St, Suite 100, Riverside, IL 60546
Phone: 708-442-0221    Fax: 708-442-5670
Keri Athena Burke, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 396 Herrick Rd, Riverside, IL 60546
Phone: 630-248-9512    
Jennifer Kang,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 353 E Burlington St, Suite 100, Riverside, IL 60546
Phone: 708-442-0221    Fax: 708-442-5670

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.