Carl J Koutnik, MD | |
2175 Rosaline Ave, Redding, CA 96001-2509 | |
(530) 243-0440 | |
(530) 243-0445 |
Full Name | Carl J Koutnik |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 41 Years |
Location | 2175 Rosaline Ave, Redding, California |
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 |
---|---|---|---|
1568533800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G59968 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Capital Medical Center | Olympia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Medical Center Specialty Physicians Llc | 2567651771 | 68 |
Entity Name | Capital Medical Center Specialty Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
Mailing Address | Practice Location Address |
---|---|
Carl J Koutnik, MD Po Box 492680, Redding, CA 96049-2680 Ph: (530) 243-0440 | Carl J Koutnik, MD 2175 Rosaline Ave, Redding, CA 96001-2509 Ph: (530) 243-0440 |
Daniel M Goodman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1465 Victor Ave, Suite A, Redding, CA 96003 Phone: 530-605-4557 Fax: 530-605-4531 | |
John Craig Stewart, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-6000 Fax: 530-243-0445 | |
Admire Kuchena, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-6000 | |
Thomas C Thomas, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8925 Elusion Ct, Redding, CA 96001 Phone: 530-243-1559 Fax: 530-244-6547 | |
Douglas Kevin Mandel, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2175 Rosaline Ave, Redding, CA 96001 Phone: 530-225-7100 | |
Pavan K Davuluri, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Butte St, Redding, CA 96001 Phone: 530-241-0410 | |
Forrest R Monroe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1255 Liberty St, Redding, CA 96001 Phone: 530-246-2467 Fax: 530-242-9460 |