Dr Jeffrey Steven Fountain, DO - Medicare Diagnostic Radiology in Sacramento, CA

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Dr Jeffrey Steven Fountain, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Sacramento, California. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Tahoe Forest Hospital District, Sutter Valley Medical Foundation, Shelin Agrawal And Hyer Pllc, Sparks Radiology Group Ltd. and his current practice location is 816 D St, Apt 13, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (952) 595-1100.

Dr Jeffrey Steven Fountain is licensed to practice in California (license number 12177) 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 1245420447.

Contact Information

Dr Jeffrey Steven Fountain, DO
816 D St, Apt 13,
Sacramento, CA 95814-0719
(952) 595-1100
(612) 294-4903

Map and Direction




Physician's Profile

Full NameDr Jeffrey Steven Fountain
GenderMale
SpecialityDiagnostic Radiology
Experience17 Years
Location816 D St, Sacramento, 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:
  • Dr Jeffrey Steven Fountain attended and graduated from Michigan State University College Of Osteopathic Medicine in 2007
  NPI Data:
  • NPI Number: 1245420447
  • Provider Enumeration Date: 07/25/2007
  • Last Update Date: 05/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7517141377
  • Enrollment ID: I20120530000222

Medical Identifiers

Medical identifiers for Dr Jeffrey Steven Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245420447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 5101017332 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 12177 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tahoe Forest HospitalTruckee, CAHospital
Sutter Auburn Faith HospitalAuburn, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tahoe Forest Hospital District0446161335105
Sutter Valley Medical Foundation98300945151840
Shelin Agrawal And Hyer Pllc589095595994
Sparks Radiology Group Ltd.88200778947

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. Dr Jeffrey Steven Fountain allows following entities to bill medicare on his behalf.
Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NameTahoe Forest Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750412300
PECOS PAC ID: 0446161335
Enrollment ID: O20050329001397
Entity NameNorth Tahoe Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210735
PECOS PAC ID: 4082718622
Enrollment ID: O20070409000407
Entity NameTahoe Forest Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538265780
PECOS PAC ID: 0446161335
Enrollment ID: O20080409000581
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameBanner Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205267549
PECOS PAC ID: 9537078365
Enrollment ID: O20140604002057
Entity NameNorthstar Radiology - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750788865
PECOS PAC ID: 5395062806
Enrollment ID: O20150321000344

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. Dr Jeffrey Steven Fountain 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
Dr Jeffrey Steven Fountain, DO
11995 Singletree Ln, Ste 500,
Eden Prairie, MN 55344-5347

Ph: (952) 595-1301		Dr Jeffrey Steven Fountain, DO
816 D St, Apt 13,
Sacramento, CA 95814-0719

Ph: (952) 595-1100

Reviews and Comments


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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.

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