Dolly Albert Boughaba, MD | |
405 Southwind Ln, Ludlow, KY 41016-1715 | |
(513) 470-2777 | |
Not Available |
Full Name | Dolly Albert Boughaba |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 30 Years |
Location | 405 Southwind Ln, Ludlow, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376582221 | NPI | - | NPPES |
64053101 | Medicaid | KY | |
000000804952 | Other | IN | ANTHEM BCBS |
200388530 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 01072116A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Appalachian Regional Healthcare Inc | 0840107835 | 230 |
Appalachian Regional Healthcare Inc | 0840107835 | 230 |
Entity Name | Appalachian Regional Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528148012 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
Entity Name | Appalachian Regional Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861671117 PECOS PAC ID: 0840107835 Enrollment ID: O20080303000476 |
Entity Name | Arh Mary Breckinridge Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982989018 PECOS PAC ID: 8123293818 Enrollment ID: O20121003000026 |
Entity Name | Arh Mary Breckinridge Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053983908 PECOS PAC ID: 8123293818 Enrollment ID: O20170316001594 |
Entity Name | Arh Mary Breckinridge Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184156036 PECOS PAC ID: 8123293818 Enrollment ID: O20170728001694 |
Entity Name | Arh Tug Valley Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639949696 PECOS PAC ID: 4183953805 Enrollment ID: O20190905002344 |
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 |