Boonpon Thongteum, NP in Winston-salem, NC - Medicare Nurse Practitioner

Boonpon Thongteum, NP is a medicare enrolled "Nurse Practitioner" in Winston-salem, North Carolina. He went to Ohio State University College Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Forsyth Memorial Hospital Inc and his current practice location is 186 Kimel Park Dr, Winston-salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 277-2000.

Boonpon Thongteum is licensed to practice in North Carolina (license number 900419) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255392536.

Contact Information

	Boonpon Thongteum, NP
	186 Kimel Park Dr, Winston-salem, NC 27103-6946
	(336) 277-2000
	(336) 277-2050

Map and Direction

Provider's Profile

Full Name	Boonpon Thongteum
Gender	Male
Speciality	Nurse Practitioner
Experience	22 Years
Location	186 Kimel Park Dr, Winston-salem, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Boonpon Thongteum attended and graduated from Ohio State University College Of Medicine in 2003

NPI Data:

NPI Number: 1255392536
Provider Enumeration Date: 03/28/2006
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 9133021652
Enrollment ID: I20040124000207

Medical Identifiers

Medical identifiers for Boonpon Thongteum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255392536	NPI	-	NPPES
7005137	Medicaid	NC
1285682310	Other	NC	WSCA GRP NPI #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	900419 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Forsyth Medical Center	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forsyth Memorial Hospital Inc	9537071790	549

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. Boonpon Thongteum allows following entities to bill medicare on his behalf.

Entity Name	Novant Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

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. Boonpon Thongteum 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
Boonpon Thongteum, NP Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 277-2000	Boonpon Thongteum, NP 186 Kimel Park Dr, Winston-salem, NC 27103-6946 Ph: (336) 277-2000

Reviews and Comments

Nurse Practitioner Nurses in Winston-salem, NC

Emmanuel Olushola Uloko Sr., PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Parkway, Forsyth Medical Center, Winston-salem, NC 27103 Phone: 336-718-5000 Fax: 336-718-9847
Stephanie A. Zannis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 S Hawthorne Rd, Suite 480-a (forsyth Pediatrics - Medical Pk), Winston-salem, NC 27103 Phone: 336-277-1600 Fax: 336-277-1610
Mr. Michael Christopher Ragan, M.ED., MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4692 Brownsboro Rd, Winston-salem, NC 27106 Phone: 336-251-1114 Fax: 336-251-1117
Mrs. Martha Arietti, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3073 Trenwest Dr, Winston-salem, NC 27103 Phone: 336-768-0437 Fax: 336-768-0433
Jennifer Lynn Keiger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Charlois Blvd, Winston-salem, NC 27103 Phone: 336-718-1000
Mrs. Kristie Miller Lewis, RNC, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston-salem, NC 27157 Phone: 336-713-6509 Fax: 336-713-6434

Boonpon Thongteum, NP - Medicare Nurse Practitioner in Winston-salem, NC