Nancy J Councelbaum, MD | |
16300 Sand Canyon Ave, 311, Irvine, CA 92618-3711 | |
(949) 753-7475 | |
(949) 753-8797 |
Full Name | Nancy J Councelbaum |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 41 Years |
Location | 16300 Sand Canyon Ave, Irvine, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275635013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | G57005 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Companion Home Health | Orange, CA | Home health agency |
Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hoag Clinic | 3274872064 | 268 |
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 | Hoag Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
Mailing Address | Practice Location Address |
---|---|
Nancy J Councelbaum, MD 16300 Sand Canyon Ave, 311, Irvine, CA 92618-3711 Ph: (949) 753-7475 | Nancy J Councelbaum, MD 16300 Sand Canyon Ave, 311, Irvine, CA 92618-3711 Ph: (949) 753-7475 |
Akbar Nassiry, M.D., M.P.H. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Barranca Parkway, Ste. 250, Irvine, CA 92604 Phone: 949-577-0047 Fax: 909-635-6085 | |
Omid Vesal, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Alton Parkway, Suite 101, Irvine, CA 92606 Phone: 949-222-2722 Fax: 949-222-9969 | |
Dr. Maria Teresa Corpin Agner, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 11 Technology Dr, Irvine, CA 92618 Phone: 855-206-6764 Fax: 949-923-3575 | |
Dr. Susan Davoodifar, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 4199 Campus Dr, Suite 550, Irvine, CA 92612 Phone: 949-509-6503 Fax: 949-326-0103 | |
Randa Serag, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4708 Barranca Pkwy, Irvine, CA 92604 Phone: 949-791-3101 Fax: 949-791-3112 | |
Tara E Seery, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 16105 Sand Canyon Ave Ste 230, Irvine, CA 92618 Phone: 949-764-5347 Fax: 949-557-0221 | |
Nadir Yusaf Qazi, DO Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 113 Waterworks Way Ste 105, Irvine, CA 92618 Phone: 949-336-7293 |