Theophile G Koury, MD - Medicare Emergency Medicine in Walnut Creek, CA

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Theophile G Koury, MD is a medicare enrolled "Emergency Medicine" physician in Walnut Creek, California. His current practice location is 1601 Ygnacio Valley Rd, Walnut Creek, California. You can reach out to his office (for appointments etc.) via phone at (925) 939-3000.

Theophile G Koury is licensed to practice in California (license number G83451) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568483691.

Contact Information

Theophile G Koury, MD
1601 Ygnacio Valley Rd,
Walnut Creek, CA 94598-3122
(925) 939-3000
Not Available

Map and Direction




Physician's Profile

Full NameTheophile G Koury
GenderMale
SpecialityEmergency Medicine
Location1601 Ygnacio Valley Rd, Walnut Creek, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568483691
  • Provider Enumeration Date: 07/22/2006
  • Last Update Date: 06/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810076395
  • Enrollment ID: I20080508000676

Medical Identifiers

Medical identifiers for Theophile G Koury such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568483691NPI-NPPES
00G834510MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine G83451 (California)Primary

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. Theophile G Koury allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameCep America - Psychiatry Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538757232
PECOS PAC ID: 0244522159
Enrollment ID: O20160713002860
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366539421
PECOS PAC ID: 0547173866
Enrollment ID: O20230421002260

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. Theophile G Koury 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
Theophile G Koury, MD
2100 Powell St, Suite 900,
Emeryville, CA 94608-1826

Ph: (510) 350-2600		Theophile G Koury, MD
1601 Ygnacio Valley Rd,
Walnut Creek, CA 94598-3122

Ph: (925) 939-3000

Reviews and Comments


Emergency Medicine Doctors in Walnut Creek, CA

Brook Andrew Woolley, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1425 S Main St, Emergency Medicine Department, Walnut Creek, CA 94596
Phone: 925-295-5100    
Malcolm C Johnson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598
Phone: 925-939-3000    
Alice Decker Hunter, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598
Phone: 925-939-3000    
Seigfred P. Jalalon, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1450 Treat Blvd # 160, Walnut Creek, CA 94597
Phone: 925-296-9000    
Theodore Ira Kloth, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598
Phone: 925-939-3000    
Stephanie Carlson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1425 S Main St, Walnut Creek, CA 94596
Phone: 925-295-4000    
Michael R. Lozano, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1425 S Main St, Walnut Creek, CA 94596
Phone: 925-295-4000    

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.