| Enaam H Alsoufi, MD | |
|
100 N Academy Ave, Danville, PA 17822-9800 | |
| (570) 271-8611 | |
| Not Available |
| Full Name | Enaam H Alsoufi |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 100 N Academy Ave, Danville, Pennsylvania |
| 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 |
|---|---|---|---|
| 1083270672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT217458 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Louisville | Louisville, KY | Hospital |
| Jewish Hospital - Shelbyville | Shelbyville, KY | Hospital |
| Baptist Health Lagrange | La grange, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Medical Group Inc | 5597867184 | 2132 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Enaam H Alsoufi, MD 5324 N Kimball Ave Apt 1w, Chicago, IL 60625-4743 Ph: (570) 560-1025 | Enaam H Alsoufi, MD 100 N Academy Ave, Danville, PA 17822-9800 Ph: (570) 271-8611 |
Oliver Henry Ruiz, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6211 | |
Rebecca Beichner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Ln, Danville, PA 17821 Phone: 724-223-3100 Fax: 724-223-3353 | |
Jason W Mitchell, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 North Academy Ave, Danville, PA 17822 Phone: 570-271-7200 Fax: 570-271-7498 | |
Kyungsook C Kim, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Woodbine Ln, Danville, PA 17822 Phone: 570-271-6070 Fax: 570-271-5609 | |
Dr. Kendra F. Boell, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6439 | |
Dr. Keith Gibson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Ln, Danville, PA 17821 Phone: 570-271-6070 Fax: 570-271-5609 |