Collins Boampong, in Rancho Cucamonga, CA - Medicare Nurse Practitioner

Collins Boampong, is a medicare enrolled "Nurse Practitioner - Family" in Rancho Cucamonga, California. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Medical Foundation and his current practice location is 10935 Terra Vista Pkwy Apt 244, Rancho Cucamonga, California. You can reach out to his office (for appointments etc.) via phone at (909) 944-3205.

Collins Boampong is licensed to practice in California (license number NP950000655) 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 1225449622.

Contact Information

	Collins Boampong,
	10935 Terra Vista Pkwy Apt 244, Rancho Cucamonga, CA 91730-6360
	(909) 944-3205
	Not Available

Map and Direction

Provider's Profile

Full Name	Collins Boampong
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	10935 Terra Vista Pkwy Apt 244, Rancho Cucamonga, California
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:

Collins Boampong graduated from nursing school in 2014

NPI Data:

NPI Number: 1225449622
Provider Enumeration Date: 05/19/2014
Last Update Date: 10/19/2020

Medicare PECOS Information:

PECOS PAC ID: 3072802289
Enrollment ID: I20160511001342

Medical Identifiers

Medical identifiers for Collins Boampong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225449622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP950000655 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1293

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. Collins Boampong allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Collins Boampong 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
Collins Boampong, 1805 Medical Center Dr, San Bernardino, CA 92411-1217 Ph: (909) 887-6333	Collins Boampong, 10935 Terra Vista Pkwy Apt 244, Rancho Cucamonga, CA 91730-6360 Ph: (909) 944-3205

Reviews and Comments

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Collins Boampong, - Medicare Nurse Practitioner in Rancho Cucamonga, CA