| Dani Boulattouf, MD | |
|
8105 Ritchie Hwy, Pasadena, MD 21122-3905 | |
| (443) 573-0564 | |
| (443) 573-0565 |
| Full Name | Dani Boulattouf |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 8105 Ritchie Hwy, Pasadena, Maryland |
| 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 |
|---|---|---|---|
| 1609006618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0073254 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | 25MA10672000 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patient First Maryland Medical Group Pllc | 4385538735 | 241 |
| Patient First New Jersey Physicians Group Llc | 6608220322 | 45 |
| Entity Name | Patient First Maryland Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962423632 PECOS PAC ID: 4385538735 Enrollment ID: O20040209000543 |
| Mailing Address | Practice Location Address |
|---|---|
| Dani Boulattouf, MD 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: (804) 968-5700 | Dani Boulattouf, MD 8105 Ritchie Hwy, Pasadena, MD 21122-3905 Ph: (443) 573-0564 |
Dr. Matias Ballesteros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3708 Mountain Rd, Pasadena, MD 21122 Phone: 410-553-8273 | |
Dr. Trang M Pham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24a Magothy Beach Rd., Pasadena, MD 21122 Phone: 410-255-2700 Fax: 410-437-1962 | |
Dr. Raygan L Lofton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24a Magothy Beach Rd, Pasadena, MD 21122 Phone: 410-255-2700 Fax: 410-437-1962 | |
Dr. Paul Anthony Chite, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24a Magothy Beach Road, Pasadena, MD 21122 Phone: 410-255-2700 Fax: 410-437-1962 | |
Jawad Saade, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3708 Mountain Rd, Pasadena, MD 21122 Phone: 410-225-1600 | |
Dr. Patricia A Chambliss, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 24 Magothy Beach Rd Ste A, Pasadena, MD 21122 Phone: 410-255-2700 | |
Dr. Natale Joseph Gagliardi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2528 Mountain Rd, #204, Pasadena, MD 21122 Phone: 410-255-4475 Fax: 410-255-6277 |