Dr Alan M Bolash, MD | |
659 Hospital Rd, 101, Tappahannock, VA 22560 | |
(804) 433-6020 | |
Not Available |
Full Name | Dr Alan M Bolash |
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Gender | Male |
Speciality | Anesthesiology |
Location | 659 Hospital Rd, Tappahannock, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639171994 | NPI | - | NPPES |
00570516-9 | Medicaid | VA | |
050001075 | Other | VA | MEDICARE |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 0101035140 (Virginia) | Primary |
Entity Name | North American Partners In Anesthesia (virginia), Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922031442 PECOS PAC ID: 9931192739 Enrollment ID: O20041217000009 |
Mailing Address | Practice Location Address |
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Dr Alan M Bolash, MD 3998 Fair Ridge Dr, Suite 300, Fairfax, VA 22033-2921 Ph: (703) 766-9737 | Dr Alan M Bolash, MD 659 Hospital Rd, 101, Tappahannock, VA 22560 Ph: (804) 433-6020 |
Miss Bonnie Deschner, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 618 Hospital Rd, Riverside Tappahannock Hospital, Tappahannock, VA 22560 Phone: 804-443-3311 | |
Conceicao Maria Berkowitz, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-3311 | |
William Michael Lyth, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 618 Hospital Rd, Tappahannock, VA 22560 Phone: 804-443-3311 Fax: 804-443-6150 |