| Dr Jeffrey Steven Fountain, DO | |
|
816 D St, Apt 13, Sacramento, CA 95814-0719 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Dr Jeffrey Steven Fountain |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 816 D St, Sacramento, California |
| 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 |
|---|---|---|---|
| 1245420447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101017332 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 12177 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Tahoe Forest Hospital | Truckee, CA | Hospital |
| Northern Nevada Medical Center | Sparks, NV | Hospital |
| Sutter Auburn Faith Hospital | Auburn, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tahoe Forest Hospital District | 0446161335 | 121 |
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| Shelin Agrawal And Hyer Pllc | 5890955959 | 68 |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
| Entity Name | North Tahoe Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210735 PECOS PAC ID: 4082718622 Enrollment ID: O20070409000407 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538265780 PECOS PAC ID: 0446161335 Enrollment ID: O20080409000581 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Entity Name | Banner Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205267549 PECOS PAC ID: 9537078365 Enrollment ID: O20140604002057 |
| Entity Name | Northstar Radiology - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750788865 PECOS PAC ID: 5395062806 Enrollment ID: O20150321000344 |
| Mailing Address | Practice 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 |
James J Steidler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3161 L St, Sacramento, CA 95816 Phone: 916-453-9999 Fax: 916-739-1099 | |
Robert P. Ochi, MD Radiology Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Muhammad Raj, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4860 Y St Ste 3100, Sacramento, CA 95817 Phone: 916-734-5732 Fax: 916-734-8490 | |
Christopher Schaefer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3161 L St, Sacramento, CA 95816 Phone: 916-453-9999 Fax: 916-739-1099 | |
Dr. Harold Fletcher Keyserling, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3161 L St, Sacramento, CA 95816 Phone: 916-878-3495 Fax: 916-736-5533 | |
Vu D Truong, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Q St Fl 1, Sacramento, CA 95816 Phone: 916-733-3301 Fax: 916-281-3882 | |
Philip Yen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Expo Pkwy, Sacramento, CA 95815 Phone: 916-646-8300 Fax: 916-736-5533 |