Mr Phanthavong Boon, RN, CRNA in Fort Riley, KS - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Phanthavong Boon, RN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Riley, Kansas. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Premier Anesthesia Of Oregon Pc, Anesthesia Associates Northwest Llc and his current practice location is 650 Huebner Rd, Fort Riley, Kansas. You can reach out to his office (for appointments etc.) via phone at (785) 239-7000.

Mr Phanthavong Boon is licensed to practice in Virginia (license number 24179395) 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 1184607285.

Contact Information

	Mr Phanthavong Boon, RN, CRNA
	650 Huebner Rd, Fort Riley, KS 66442-4030
	(785) 239-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Phanthavong Boon
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	650 Huebner Rd, Fort Riley, Kansas
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:

Mr Phanthavong Boon graduated from nursing school in 2022

NPI Data:

NPI Number: 1184607285
Provider Enumeration Date: 11/22/2005
Last Update Date: 02/16/2022

Medicare PECOS Information:

PECOS PAC ID: 1052711157
Enrollment ID: I20240627002431

Medical Identifiers

Medical identifiers for Mr Phanthavong Boon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184607285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	202201644RN (Oregon)	Secondary
163W00000X	Registered Nurse	14-153121-072 (Kansas)	Secondary
163W00000X	Registered Nurse	0001186892 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	43-557812-072 (Kansas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	24179395 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Willamette Falls Medical Center	Oregon city, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Anesthesia Of Oregon Pc	2961857123	26
Anesthesia Associates Northwest Llc	7618908484	86

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. Mr Phanthavong Boon allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Associates Northwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459

Entity Name	Premier Anesthesia Of Oregon Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154010429 PECOS PAC ID: 2961857123 Enrollment ID: O20231009002794

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. Mr Phanthavong Boon 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
Mr Phanthavong Boon, RN, CRNA 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-7000	Mr Phanthavong Boon, RN, CRNA 650 Huebner Rd, Fort Riley, KS 66442-4030 Ph: (785) 239-7000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Riley, KS

Jaymie R. Mattia, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 267-228-5908
Jason A Perez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 650 Huebner Rd., Fort Riley, KS 66442 Phone: 785-239-7667
Nicholas Adam Isakson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7151 Fax: 785-240-7438
Mrs. Christel Lynn Labarge Burke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-802-5216
Maevelyn Andalis O'donnell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 337-378-5585
Dennis W Armstrong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-240-7106
Mrs. Heather Lynnette Frisbie, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 650 Huebner Rd, Fort Riley, KS 66442 Phone: 785-239-7151

Mr Phanthavong Boon, RN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Riley, KS