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

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 Name	Theophile G Koury
Gender	Male
Speciality	Emergency Medicine
Location	1601 Ygnacio Valley Rd, Walnut Creek, California
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1568483691	NPI	-	NPPES
00G834510	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency 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 Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458

Entity Name	Cep America - Psychiatry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538757232 PECOS PAC ID: 0244522159 Enrollment ID: O20160713002860

Entity Name	Franciscan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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
Giselle Elisabeth Karine Malina, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000

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