Dr Nicole Gabriele Coufal, MD in San Diego, CA - Medicare Undefined Physician Type (specify)

Dr Nicole Gabriele Coufal, MD is a medicare enrolled "Pediatrics" physician in San Diego, California. She went to University Of California, San Diego School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Undefined Physician Type (specify). She is a member of the group practice Anesthesia Service Medical Group and her current practice location is 3020 Childrens Way, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 576-1700.

Dr Nicole Gabriele Coufal is licensed to practice in California (license number A124395) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790079655.

Contact Information

	Dr Nicole Gabriele Coufal, MD
	3020 Childrens Way, San Diego, CA 92123-4223
	(858) 576-1700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nicole Gabriele Coufal
Gender	Female
Speciality	Undefined Physician Type (specify)
Experience	13 Years
Location	3020 Childrens Way, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nicole Gabriele Coufal attended and graduated from University Of California, San Diego School Of Medicine in 2011

NPI Data:

NPI Number: 1790079655
Provider Enumeration Date: 06/07/2011
Last Update Date: 12/03/2014

Medicare PECOS Information:

PECOS PAC ID: 0547552853
Enrollment ID: I20170801001289

Medical Identifiers

Medical identifiers for Dr Nicole Gabriele Coufal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790079655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A124395 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Service Medical Group	1153223219	237

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole Gabriele Coufal allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Service Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053354233 PECOS PAC ID: 1153223219 Enrollment ID: O20040121000450

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. Dr Nicole Gabriele Coufal 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 Address	Practice Location Address
Dr Nicole Gabriele Coufal, MD 3020 Childrens Way # Mc5075, San Diego, CA 92123-4223 Ph: (858) 576-1700	Dr Nicole Gabriele Coufal, MD 3020 Childrens Way, San Diego, CA 92123-4223 Ph: (858) 576-1700

Reviews and Comments

Pediatrics Doctors in San Diego, CA

Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082

Dr Nicole Gabriele Coufal, MD - Medicare Undefined Physician Type (specify) in San Diego, CA