Dolly Albert Boughaba, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Ludlow, Kentucky. She graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Hendricks County Hospital and her current practice location is
405 Southwind Ln, Ludlow, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(513) 470-2777.
Dolly Albert Boughaba is licensed to practice in Indiana (license number 01072116A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376582221.
Physician's Profile
| Full Name | Dolly Albert Boughaba |
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| Gender | Female |
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| Speciality | Neurology |
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| Experience | 32 Years |
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| Location | 405 Southwind Ln, Ludlow, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dolly Albert Boughaba graduated from medical school in 1994
NPI Data:
- NPI Number: 1376582221
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779776869
- Enrollment ID: I20130222000061
Medical Identifiers
Medical identifiers for Dolly Albert Boughaba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376582221 | NPI | - | NPPES |
| 000000804952 | Other | IN | ANTHEM BCBS |
| 200388530 | Medicaid | IN | |
| 64053101 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 01072116A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hendricks County Hospital | 4880505528 | 307 |
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. Dolly Albert Boughaba allows following entities to bill medicare on her behalf.
| Entity Name | Union Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013965573
PECOS PAC ID: 8426943614
Enrollment ID: O20040519000807 |
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| Entity Name | Hendricks County Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497536163
PECOS PAC ID: 4880505528
Enrollment ID: O20040811000309 |
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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. Dolly Albert Boughaba 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 Address | Practice Location Address |
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Dolly Albert Boughaba, MD
405 Southwind Ln,
Ludlow, KY 41016-1715
Ph: (513) 470-2777 | Dolly Albert Boughaba, MD
405 Southwind Ln,
Ludlow, KY 41016-1715
Ph: (513) 470-2777 |
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