Dr Philippe Edouard, MD - Medicare Internal Medicine in Petaluma, CA

Dr Philippe Edouard, MD is a medicare enrolled "Internal Medicine" physician in Petaluma, California. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Medical Foundation, Petaluma Health Center Inc and his current practice location is 1179 N Mcdowell Blvd, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 559-7500.

Dr Philippe Edouard is licensed to practice in California (license number C51257) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124029491.

Contact Information

Dr Philippe Edouard, MD
1179 N Mcdowell Blvd,
Petaluma, CA 94954-6559
(707) 559-7500
(707) 559-7620

Map and Direction




Physician's Profile

Full NameDr Philippe Edouard
GenderMale
SpecialityInternal Medicine
Experience38 Years
Location1179 N Mcdowell Blvd, Petaluma, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Philippe Edouard graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1124029491
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 09/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6709876212
  • Enrollment ID: I20040517000506

Medical Identifiers

Medical identifiers for Dr Philippe Edouard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124029491NPI-NPPES
00C512570MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine C51257 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Petaluma Valley HospitalPetaluma, CAHospital
Santa Rosa Memorial HospitalSanta rosa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312
Petaluma Health Center Inc913318037558

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 Philippe Edouard allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NamePetaluma Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588656268
PECOS PAC ID: 9133180375
Enrollment ID: O20050315000415

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 Philippe Edouard 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
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

Reviews and Comments


Internal Medicine Doctors in Petaluma, CA

Timothy M Sowerby, MD
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Dr. Thomas Paton Knecht, MD, PHD
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Stephen A. Weiss, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954
Phone: 707-765-3900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.