Dr Philippe Edouard, MD | |
1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | |
(707) 559-7500 | |
(707) 559-7620 |
Full Name | Dr Philippe Edouard |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 1179 N Mcdowell Blvd, Petaluma, 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 |
---|---|---|---|
1124029491 | NPI | - | NPPES |
00C512570 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C51257 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Petaluma Valley Hospital | Petaluma, CA | Hospital |
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Petaluma Health Center Inc | 9133180375 | 58 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Petaluma Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415 |
Mailing Address | Practice Location Address |
---|---|
Dr Philippe Edouard, MD 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500 | Dr Philippe Edouard, MD 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500 |
Timothy M Sowerby, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900 | |
Nina Rachel Molin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 | |
Dr. Gerald S. Besses, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 124 Sunny Hill Dr, Petaluma, CA 94952 Phone: 707-658-2799 | |
Dr. Jeffrey Tobias, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Lavender Ter, Petaluma, CA 94952 Phone: 650-200-8944 | |
Dr. Thomas Paton Knecht, MD, PHD Internal Medicine Medicare: Medicare Enrolled Practice Location: 141 Lynch Creek Way, Suite A, Petaluma, CA 94954 Phone: 707-762-0001 | |
Stephen A. Weiss, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900 |