| Bouthiana Fathallah, CAA | |
|
9330 State Road 54, Trinity, FL 34655-1808 | |
| (727) 834-4000 | |
| Not Available |
| Full Name | Bouthiana Fathallah |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 2 Years |
| Location | 9330 State Road 54, Trinity, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861223661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Trinity Hospital | Trinity, FL | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 555 |
| Entity Name | Piedmont Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Mailing Address | Practice Location Address |
|---|---|
| Bouthiana Fathallah, CAA 1808 Shadybrook Rd, Charleston, WV 25314-2268 Ph: Not Available | Bouthiana Fathallah, CAA 9330 State Road 54, Trinity, FL 34655-1808 Ph: (727) 834-4000 |
Dev Patel, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9330 State Rd 54 Main Campus, Trinity, FL 34655 Phone: 727-834-4000 |
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: May Accept Medicare Assignments Practice Location: 9330 State Road 54 Ste 340, Trinity, FL 34655 Phone: 727-834-4000 |