David R Couillard, MD | |
584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | |
(916) 251-3063 | |
(916) 459-2403 |
Full Name | David R Couillard |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 36 Years |
Location | 584 N Sunrise Ave Ste 100, Roseville, 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 |
---|---|---|---|
1457462319 | NPI | - | NPPES |
ZZZ26454Z | Other | CA | MEDICARE GROUP PTAN |
00G686510 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | G68651 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Roseville Medical Center | Roseville, CA | Hospital |
Sierra Nevada Memorial Hospital | Grass valley, CA | Hospital |
Oroville Hospital | Oroville, CA | Hospital |
Mercy San Juan Medical Center | Carmichael, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Javidan Urology Inc | 5496028201 | 4 |
Sierra Medical Partnership | 7810321858 | 12 |
Entity Name | Javidan Urology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174043129 PECOS PAC ID: 5496028201 Enrollment ID: O20170830000801 |
Entity Name | Sierra Medical Partnership |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568015808 PECOS PAC ID: 7810321858 Enrollment ID: O20191227000310 |
Mailing Address | Practice Location Address |
---|---|
David R Couillard, MD 584 N Sunrise Ave, Ste 100, Roseville, CA 95661-2862 Ph: (916) 251-3063 | David R Couillard, MD 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 Ph: (916) 251-3063 |
Dr. Hossein Mirheydar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, Ste 250, Roseville, CA 95661 Phone: 916-797-4720 | |
Viswanathan Gajendran, MD Urology Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Mr. Abdo J. Faddoul, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza, Suite 285, Roseville, CA 95661 Phone: 916-786-3100 Fax: 916-786-9433 | |
George W. Chiu, MD Urology Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
John E Gould, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1130 Conroy Ln, Suite 100, Roseville, CA 95661 Phone: 916-773-5529 Fax: 916-773-0430 | |
Dr. Carolina Raveau Alvayay, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-797-4719 Fax: 916-797-4721 | |
William Hoch, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2261 Douglas Blvd, Roseville, CA 95661 Phone: 916-783-7109 Fax: 916-783-2882 |