Michael M Boustany, MD | |
434 Division St, South Charleston, WV 25309 | |
(304) 766-7140 | |
(304) 766-7180 |
Full Name | Michael M Boustany |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 54 Years |
Location | 434 Division St, South Charleston, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619973096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 10600 (West Virginia) | Secondary |
208600000X | Surgery | 10600 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thomas Memorial Hospital | South charleston, WV | Hospital |
Charleston Area Medical Center | Charleston, WV | Hospital |
St Francis Hospital | Charleston, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ths Physician Partners Inc | 9537316393 | 141 |
Entity Name | Ths Physician Partners Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
Mailing Address | Practice Location Address |
---|---|
Michael M Boustany, MD 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 414-4800 | Michael M Boustany, MD 434 Division St, South Charleston, WV 25309 Ph: (304) 766-7140 |
Johnna Michelle Jackson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Poplar St, Suite 304, South Charleston, WV 25309 Phone: 304-767-7770 Fax: 304-767-7779 | |
Ahmad Bali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Division St, Suite 202, South Charleston, WV 25309 Phone: 304-767-7800 Fax: 304-767-7805 | |
Kristen Price Eads, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Poplar St, Suite 304, South Charleston, WV 25309 Phone: 304-767-7770 Fax: 304-767-7779 |