Bouthiana Fathallah, CAA - Medicare Anesthesiologist Assistant in Trinity, FL

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Bouthiana Fathallah, CAA is a medicare enrolled "Anesthesiologist Assistant" in Trinity, Florida. Her current practice location is 9330 State Road 54, Trinity, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 834-4000.

Bouthiana Fathallah is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861223661.

Contact Information

Bouthiana Fathallah, CAA
9330 State Road 54,
Trinity, FL 34655-1808
(727) 834-4000
Not Available

Map and Direction




Provider's Profile

Full NameBouthiana Fathallah
GenderFemale
SpecialityAnesthesiologist Assistant
Location9330 State Road 54, Trinity, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861223661
  • Provider Enumeration Date: 08/12/2024
  • Last Update Date: 08/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789118589
  • Enrollment ID: I20241115003295

Medical Identifiers

Medical identifiers for Bouthiana Fathallah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861223661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))Primary

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. Bouthiana Fathallah allows following entities to bill medicare on her behalf.
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003

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. Bouthiana Fathallah 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
Bouthiana Fathallah, CAA
1808 Shadybrook Rd,
Charleston, WV 25314-2268

Ph: () -		Bouthiana Fathallah, CAA
9330 State Road 54,
Trinity, FL 34655-1808

Ph: (727) 834-4000

Reviews and Comments


Anesthesiologist Assistant Nurses in Trinity, FL

Jon-michael Degidio,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9330 State Road 54, Trinity, FL 34655
Phone: 727-834-4000    
Mr. Justin Lee Drobisch, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9330 State Road 54, Trinity, FL 34655
Phone: 727-834-4727    
Sebastien Charles,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9330 State Road 54, Trinity, FL 34655
Phone: 727-834-4000    
Mr. Mark Anthony Leonard, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9330 State Road 54, Medical Center Of Trinity, Trinity, FL 34655
Phone: 727-834-4000    
Taylor Friendt, C-AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9330 State Road 54, Trinity, FL 34655
Phone: 727-515-4258    
Daniel Joe,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9330 State Road 54 Ste 340, Trinity, FL 34655
Phone: 727-834-4000    
Ms. Victoria Anne Williams,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9330 Fl-54, Trinity, FL 34655
Phone: 727-834-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.