Joseph Boone, PMHNP-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric" in Show Low, Arizona. His current practice location is
1500 S White Mountain Rd, Show Low, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 532-5838.
Joseph Boone is licensed to practice in Arizona (license number 317852) 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 1679383061.
Provider's Profile
Full Name | Joseph Boone |
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Gender | Male |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric |
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Location | 1500 S White Mountain Rd, Show Low, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679383061
- Provider Enumeration Date: 01/09/2025
- Last Update Date: 02/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193255370
- Enrollment ID: I20250204002485
Medical Identifiers
Medical identifiers for Joseph Boone such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679383061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0813X | Clinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric | 317852 (Arizona) | 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. Joseph Boone allows following entities to bill medicare on his behalf.
Entity Name | Changepoint Integrated Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205877610 PECOS PAC ID: 8123004587 Enrollment ID: O20040625001074 |
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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. Joseph Boone 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 |
Joseph Boone, PMHNP-BC 1801 W Deuce Of Clubs Ste 100, Show Low, AZ 85901-2704 Ph: (928) 537-2951 | Joseph Boone, PMHNP-BC 1500 S White Mountain Rd, Show Low, AZ 85901-7111 Ph: (928) 532-5838 |
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