| Bouloute Healthcare Services, Llc | |
|
5049 Anchorstone Dr, Woodbridge, VA 22192-8320 | |
| (678) 517-4214 | |
| Not Available |
| Full Name | Bouloute Healthcare Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 5049 Anchorstone Dr, Woodbridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104343532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 01303301212 (Virginia) | Primary |
| Provider Name | Owmy Bouloute |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093013880 PECOS PAC ID: 0042495608 Enrollment ID: I20171106002770 |
| Mailing Address | Practice Location Address |
|---|---|
| Bouloute Healthcare Services, Llc 8653 16th St Unit 7186, Silver Spring, MD 20907-7909 Ph: (678) 517-4214 | Bouloute Healthcare Services, Llc 5049 Anchorstone Dr, Woodbridge, VA 22192-8320 Ph: (678) 517-4214 |
Dr. Edna C Holmes, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1700 Rosedale Ct, Woodbridge, VA 22191 Phone: 703-494-3070 Fax: 703-491-9501 | |
Dr. Owmy Bouloute, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5049 Anchorstone Dr, Woodbridge, VA 22192 Phone: 678-517-4214 | |
Dr. Peter Neil Brieloff, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192 Phone: 703-583-5959 | |
Foot And Ankle Specialists Of The Mid-atlantic Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1721 Financial Loop, Woodbridge, VA 22192 Phone: 703-491-9500 Fax: 703-491-9994 | |
Progressive Feet Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2296 Opitz Blvd Ste 510, Woodbridge, VA 22191 Phone: 571-285-4208 Fax: 571-285-4240 | |
Potomac Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192 Phone: 703-583-5959 Fax: 703-583-5995 |