| Carl-philippe Rousseau, | |
|
4100 E Mississippi Ave Ste 110, Glendale, CO 80246-3051 | |
| (303) 552-9522 | |
| (415) 252-7176 |
| Full Name | Carl-philippe Rousseau |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 4100 E Mississippi Ave Ste 110, Glendale, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881077030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 289925 (New York) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | DR.0075292 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Sinai St Luke's Roosevelt Hospital | New york, NY | Hospital |
| Mount Sinai Hospital | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icahn School Of Medicine At Mount Sinai | 2264691070 | 2587 |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689947160 PECOS PAC ID: 2264691070 Enrollment ID: O20120720000202 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689947160 PECOS PAC ID: 2264691070 Enrollment ID: O20150303000962 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl-philippe Rousseau, 4100 E Mississippi Ave Ste 110, Glendale, CO 80246-3051 Ph: (303) 552-9522 | Carl-philippe Rousseau, 4100 E Mississippi Ave Ste 110, Glendale, CO 80246-3051 Ph: (303) 552-9522 |
Dr. Joshua Jason Solot, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 E Mississippi Ave Ste 110, Glendale, CO 80246 Phone: 303-552-9522 | |
David Korneluk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 S Cherry St Ste 410, Glendale, CO 80246 Phone: 303-333-3388 Fax: 303-333-5094 | |
Dr. David A Severance, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 E Mississippi Ave, Glendale, CO 80246 Phone: 303-552-9522 Fax: 720-729-7668 |