| Fatouma Bouh, | |
|
588 Longmeadow St, Longmeadow, MA 01106-2212 | |
| (413) 565-1000 | |
| Not Available |
| Full Name | Fatouma Bouh |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 588 Longmeadow St, Longmeadow, Massachusetts |
| 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 |
|---|---|---|---|
| 1538892849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12640 (Georgia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstreet Of Georgia Pc | 7517126279 | 425 |
| Entity Name | Wellstreet of Georgia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Fatouma Bouh, 588 Longmeadow St, Longmeadow, MA 01106-2212 Ph: (413) 565-1000 | Fatouma Bouh, 588 Longmeadow St, Longmeadow, MA 01106-2212 Ph: (413) 565-1000 |
Kevin Wijewardena, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Erin Lynn Emery, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Katherine Tramanh Ngoc Nguyen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Ashley Ruth Shelsie Desameau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Tin Viet Phan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |
Christiana Annmarie Nunez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 347-424-3333 |
Logan David Welch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 588 Longmeadow St, Longmeadow, MA 01106 Phone: 413-565-1000 |