Mrs Kingkhan Boriboon, MD in Dearborn, MI - Medicare Pediatrics

Mrs Kingkhan Boriboon, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Dearborn, Michigan. Her current practice location is 3850 Pelham St, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 562-9500.

Mrs Kingkhan Boriboon is licensed to practice in Michigan (license number 4301031543) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023103025.

Contact Information

	Mrs Kingkhan Boriboon, MD
	3850 Pelham St, Dearborn, MI 48124-3832
	(313) 562-9500
	(313) 562-7567

Physician's Profile

Full Name	Mrs Kingkhan Boriboon
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	3850 Pelham St, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023103025
Provider Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3476846213
Enrollment ID: I20160801001517

Medical Identifiers

Medical identifiers for Mrs Kingkhan Boriboon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023103025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	4301031543 (Michigan)	Primary

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. Mrs Kingkhan Boriboon 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
Mrs Kingkhan Boriboon, MD 3850 Pelham St, Dearborn, MI 48124-3832 Ph: (313) 562-9500	Mrs Kingkhan Boriboon, MD 3850 Pelham St, Dearborn, MI 48124-3832 Ph: (313) 562-9500

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Pediatrics Doctors in Dearborn, MI

Rannan Kased, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Schaefer Rd Ste 245255, Dearborn, MI 48126 Phone: 313-561-5100 Fax: 313-565-0309
Dr. Doss Nicolas Doss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 5500 Auto Club Dr, Dearborn, MI 48126 Phone: 313-425-4700
Saba Javaid, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 19401 Hubbard Dr, Dearborn, MI 48126 Phone: 313-982-4400
Kathleen B. Blumer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Phone: 313-982-8330 Fax: 313-982-8294
Dr. Azmathullah Khan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4700 Greenfield Rd, Dearborn, MI 48126 Phone: 313-945-6100 Fax: 313-945-5260
Dr. Alex Elsabbagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Telegraph Rd, Dearborn, MI 48128 Phone: 313-274-6666 Fax: 313-274-4466

Mrs Kingkhan Boriboon, MD - Medicare Pediatrics in Dearborn, MI