Bouloute Healthcare Services, Llc - Medicare Podiatrist in Woodbridge, VA

Bouloute Healthcare Services, Llc is a medicare enrolled "Podiatrist" provider in Woodbridge, Virginia. Their current practice location is 5049 Anchorstone Dr, Woodbridge, Virginia. You can reach out to their office (for appointments etc.) via phone at (678) 517-4214.

Bouloute Healthcare Services, Llc is licensed to practice in Virginia (license number 01303301212) and it also participates in the medicare program. Bouloute Healthcare Services, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1104343532.

Contact Information

Bouloute Healthcare Services, Llc
5049 Anchorstone Dr,
Woodbridge, VA 22192-8320
(678) 517-4214
Not Available



Healthcare Provider's Profile

Full NameBouloute Healthcare Services, Llc
TypeFacility
SpecialityPodiatrist
Location5049 Anchorstone Dr, Woodbridge, Virginia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104343532
  • Provider Enumeration Date: 08/25/2017
  • Last Update Date: 08/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6406112515
  • Enrollment ID: O20171106002685

Medical Identifiers

Medical identifiers for Bouloute Healthcare Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104343532NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 01303301212 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bouloute Healthcare Services, Llc acts as a billing entity for following providers:
Provider NameOwmy Bouloute
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1093013880
PECOS PAC ID: 0042495608
Enrollment ID: I20171106002770

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› Verified 7 days ago

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. Bouloute Healthcare Services, Llc 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 AddressPractice Location Address
Bouloute Healthcare Services, Llc
8653 16th St Unit 7186,
Silver Spring, MD 20907-7909

Ph: (678) 517-4214
Bouloute Healthcare Services, Llc
5049 Anchorstone Dr,
Woodbridge, VA 22192-8320

Ph: (678) 517-4214

News Archive

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› Verified 7 days ago


Podiatrist in Woodbridge, VA

Dr. Edna C Holmes, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1700 Rosedale Ct, Woodbridge, VA 22191
Phone: 703-494-3070    Fax: 703-491-9501
Dr. Owmy Bouloute, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 5049 Anchorstone Dr, Woodbridge, VA 22192
Phone: 678-517-4214    
Dr. Peter Neil Brieloff, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192
Phone: 703-583-5959    
Foot And Ankle Specialists Of The Mid-atlantic Llc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1721 Financial Loop, Woodbridge, VA 22192
Phone: 703-491-9500    Fax: 703-491-9994
Progressive Feet Llc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 2296 Opitz Blvd Ste 510, Woodbridge, VA 22191
Phone: 571-285-4208    Fax: 571-285-4240
Potomac Podiatry Pllc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192
Phone: 703-583-5959    Fax: 703-583-5995

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