Sampanta Boonjarern, MD in Crown Point, IN - Internal Medicine

Sampanta Boonjarern, MD is a Internal Medicine - Nephrology physician based in Crown Point, Indiana. Sampanta Boonjarern is licensed to practice in Indiana (license number 01027321A) and his current practice location is 297 Franciscan Dr, Crown Point, Indiana. He can be reached at his office (for appointments etc.) via phone at (219) 622-1718.

NPI number for Sampanta Boonjarern is 1073514642 and his current mailing address is 855 Madison St, Oak Park, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073514642.

Contact Information

	Sampanta Boonjarern, MD
	297 Franciscan Dr, Crown Point, IN 46307-4858
	(219) 622-1718
	Not Available

Physician's Profile

Full Name	Sampanta Boonjarern
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	297 Franciscan Dr, Crown Point, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1073514642
Provider Enumeration Date: 08/09/2005
Last Update Date: 10/05/2009

Medical Identifiers

Medical identifiers for Sampanta Boonjarern such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073514642	NPI	-	NPPES
000000095595	Other	IN	ANTHEM BCBS NUMBER
100168430A	Medicaid	IN
100082060	Medicaid	IN
090001077	Other	IL	IL BCBS NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	01027321A (Indiana)	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. Sampanta Boonjarern is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sampanta Boonjarern, MD 855 Madison St, Oak Park, IL 60302-4420 Ph: (708) 492-4531	Sampanta Boonjarern, MD 297 Franciscan Dr, Crown Point, IN 46307-4858 Ph: (219) 622-1718

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Internal Medicine Doctors in Crown Point, IN

Mr. Peter K Tothy, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 342 E 109th Ave, Crown Point, IN 46307 Phone: 219-310-2550 Fax: 219-310-2565
Dr. Rani John Puthenveetil, M.D Nephrology Medicare: Not Enrolled in Medicare Practice Location: 9330 Broadway, Crown Point, IN 46307 Phone: 219-662-5000
Boris Sagalovsky, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr Ste 320, Crown Point, IN 46307 Phone: 219-662-0077 Fax: 219-662-9496
Mohamed Farhat, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1205 S Main St, Suite 301, Crown Point, IN 46307 Phone: 219-661-1640 Fax: 219-661-8066
Dr. Arnolfo B Elman, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-738-2100 Fax: 219-681-6867
Arnold Michael Kemp, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897

Sampanta Boonjarern, MD - Internal Medicine in Crown Point, IN