Sean Koulaboud, APRN - Medicare Nurse Practitioner in Folsom, CA

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Sean Koulaboud, APRN is a medicare enrolled "Nurse Practitioner - Family" in Folsom, California. His current practice location is 1600 Creekside Dr Ste 2100, Folsom, California. You can reach out to his office (for appointments etc.) via phone at (169) 832-6639.

Sean Koulaboud is licensed to practice in California (license number 95004148) 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 1568837276.

Contact Information

Sean Koulaboud, APRN
1600 Creekside Dr Ste 2100,
Folsom, CA 95630-3447
(169) 832-6639
(169) 830-6029

Map and Direction




Provider's Profile

Full NameSean Koulaboud
GenderMale
SpecialityNurse Practitioner - Family
Location1600 Creekside Dr Ste 2100, Folsom, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568837276
  • Provider Enumeration Date: 12/07/2015
  • Last Update Date: 05/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0143527671
  • Enrollment ID: I20170505002072

Medical Identifiers

Medical identifiers for Sean Koulaboud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568837276NPI-NPPES
APRN-53-76899OtherKSKANSAS NURSING LICENSE
95004148OtherCACALIFORNIA NURSING LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN-53-76899 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 53-76899 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 95004148 (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. Sean Koulaboud allows following entities to bill medicare on his behalf.
Entity NameMeena Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710348321
PECOS PAC ID: 1658679873
Enrollment ID: O20160420002411

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. Sean Koulaboud 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
Sean Koulaboud, APRN
1600 Creekside Dr Ste 2100,
Folsom, CA 95630-3447

Ph: (169) 832-6639		Sean Koulaboud, APRN
1600 Creekside Dr Ste 2100,
Folsom, CA 95630-3447

Ph: (169) 832-6639

Reviews and Comments


Nurse Practitioner Nurses in Folsom, CA

Alaina Rae Niebuhr, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2170 E Bidwell St Ste 100, Folsom, CA 95630
Phone: 916-983-8696    
Annika Elizabeth Dethlefs, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 82 Clarksville Rd Ste 120, Folsom, CA 95630
Phone: 916-983-8868    
Mrs. Josephine P Williams, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 108 Lowney Ct, Folsom, CA 95630
Phone: 916-984-3792    
Li Kelly,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 306 Flower Dr, Folsom, CA 95630
Phone: 916-205-5055    Fax: 916-205-5055
Laura A Galindo, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Creekside Dr Ste 3300, Folsom, CA 95630
Phone: 866-302-0605    Fax: 916-618-0745
Daniel Lim,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 283 Barnhill Dr, Folsom, CA 95630
Phone: 917-755-7921    
Chidinma Linda Uzoukwu,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 510 Plaza Dr Ste 170, Folsom, CA 95630
Phone: 916-351-9400    

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.