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

Mr Phanthavong Boon, RN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Riley, Kansas. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sweet Dreams Anesthesia Inc, Anesthesia Associates Of Topeka Pa 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



Provider's Profile

Full NameMr Phanthavong Boon
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 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 2013
  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: I20210610003059

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
Stormont Vail HospitalTopeka, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sweet Dreams Anesthesia Inc004247770534
Anesthesia Associates Of Topeka Pa569867543754

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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 NameAnesthesia Associates Of Topeka Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518933837
PECOS PAC ID: 5698675437
Enrollment ID: O20040109000467

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Entity NameSweet Dreams Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508133497
PECOS PAC ID: 0042477705
Enrollment ID: O20191206000961

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Entity NameClinical Colleagues Ks Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548813967
PECOS PAC ID: 3870921984
Enrollment ID: O20200323002520

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Entity NameHerington Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447829536
PECOS PAC ID: 8527469188
Enrollment ID: O20210713002964

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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. 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

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Nurse Anesthetist, Certified Registered Nurses in Fort Riley, KS

Jason A Perez, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 650 Huebner Rd., Fort Riley, KS 66442
Phone: 785-239-7667    
Nicholas Adam Isakson, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 650 Huebner Rd, Fort Riley, KS 66442
Phone: 785-239-7151    Fax: 785-240-7438
Dr. Jeffrey Burke, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 650 Huebner Rd, Fort Riley, KS 66442
Phone: 785-239-7391    
Phillip John Noble, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 650 Huebner Rd, Fort Riley, KS 66442
Phone: 716-359-5712    
Mrs. Christel Lynn Labarge Burke, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
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: Medicare Enrolled
Practice Location: 650 Huebner Rd, Fort Riley, KS 66442
Phone: 785-240-7106    

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