Robert Gousse, MD - Medicare Family Practice in Fresno, CA

Robert Gousse, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Fresno, California. He went to University Of South Florida College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Foundation Medical Group and his current practice location is 1630 E Herndon Ave, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 290-7050.

Robert Gousse is licensed to practice in California (license number A149982) 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 1952667792.

Contact Information

Robert Gousse, MD
1630 E Herndon Ave,
Fresno, CA 93720-3391
(559) 290-7050
Not Available

Map and Direction




Physician's Profile

Full NameRobert Gousse
GenderMale
SpecialityFamily Practice
Experience12 Years
Location1630 E Herndon Ave, Fresno, 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:
  • Robert Gousse attended and graduated from University Of South Florida College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1952667792
  • Provider Enumeration Date: 04/05/2012
  • Last Update Date: 07/26/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0547532921
  • Enrollment ID: I20170818002694

Medical Identifiers

Medical identifiers for Robert Gousse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952667792NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine A149982 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clovis Community Medical CenterClovis, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Foundation Medical Group0345406294263

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. Robert Gousse allows following entities to bill medicare on his behalf.
Entity NameSierra Pacific Orthopaedic Center Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285669655
PECOS PAC ID: 8426941105
Enrollment ID: O20040205001011
Entity NameCommunity Foundation Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387

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. Robert Gousse 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
Robert Gousse, MD
1630 E Herndon Ave,
Fresno, CA 93720-3391

Ph: () -
Robert Gousse, MD
1630 E Herndon Ave,
Fresno, CA 93720-3391

Ph: (559) 290-7050

Reviews and Comments


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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).

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