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

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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 Santiam Memorial Hospital, 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 NameMr Phanthavong Boon
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location650 Huebner Rd, Fort Riley, Kansas
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1184607285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 202201644RN (Oregon)Secondary
163W00000XRegistered Nurse 14-153121-072 (Kansas)Secondary
163W00000XRegistered Nurse 0001186892 (Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 43-557812-072 (Kansas)Secondary
367500000XNurse Anesthetist, Certified Registered 24179395 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Willamette Falls Medical CenterOregon city, ORHospital
Santiam Hospital & ClinicsStayton, ORHospital
Providence Newberg Medical CenterNewberg, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Santiam Memorial Hospital6103729751128
Premier Anesthesia Of Oregon Pc296185712330
Anesthesia Associates Northwest Llc761890848480

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 NameSantiam Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154302214
PECOS PAC ID: 6103729751
Enrollment ID: O20040130000239
Entity NameAnesthesia Associates Northwest LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548281751
PECOS PAC ID: 7618908484
Enrollment ID: O20050822001459
Entity NamePremier Anesthesia of Oregon PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Accepting Medicare Assignments
Practice Location: 650 Huebner Rd, Fort Riley, KS 66442
Phone: 267-228-5908    
Jason A Perez, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 650 Huebner Rd., Fort Riley, KS 66442
Phone: 785-239-7667    
Mr. Sean M. Pozarek, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 650 Huebner Rd, Fort Riley, KS 66442
Phone: 785-239-7528    
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    
Leeann Sperling,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 650 Huebner Rd, Fort Riley, KS 66442
Phone: 785-239-3627    Fax: 630-570-5779
Maevelyn Andalis O'donnell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 650 Huebner Rd, Fort Riley, KS 66442
Phone: 337-378-5585    

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).

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