Dolly Albert Boughaba, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Ludlow, Kentucky. Her current practice location is
405 Southwind Ln, Ludlow, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(513) 470-2777.
Dolly Albert Boughaba is licensed to practice in Indiana (license number 01072116A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376582221.
Physician's Profile
Full Name | Dolly Albert Boughaba |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 405 Southwind Ln, Ludlow, Kentucky |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dolly Albert Boughaba attended and graduated from in
NPI Data:
- NPI Number: 1376582221
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dolly Albert Boughaba such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376582221 | NPI | - | NPPES |
64053101 | Medicaid | KY | |
000000804952 | Other | IN | ANTHEM BCBS |
200388530 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 01072116A (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. Dolly Albert Boughaba 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 |
Dolly Albert Boughaba, MD 405 Southwind Ln, Ludlow, KY 41016-1715 Ph: (513) 470-2777 | Dolly Albert Boughaba, MD 405 Southwind Ln, Ludlow, KY 41016-1715 Ph: (513) 470-2777 |
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