| Dr Mary M Koumas, DO | |
|
24401 Muirlands Blvd, Suite #a, Lake Forest, CA 92630-3948 | |
| (949) 770-1950 | |
| (949) 770-8599 |
| Full Name | Dr Mary M Koumas |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 24401 Muirlands Blvd, Lake Forest, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306838909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A4402 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorialcare Saddleback Medical Center | Laguna hills, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Forest Medical Group, Inc. | 3274594650 | 2 |
| Entity Name | Lake Forest Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558429092 PECOS PAC ID: 3274594650 Enrollment ID: O20041019001334 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary M Koumas, DO 24401 Muirlands Blvd, Suite #a, Lake Forest, CA 92630-3948 Ph: (949) 770-1950 | Dr Mary M Koumas, DO 24401 Muirlands Blvd, Suite #a, Lake Forest, CA 92630-3948 Ph: (949) 770-1950 |
Mrs. Rizwana Mohseni, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23672 Birtcher Dr, Unit A, Lake Forest, CA 92630 Phone: 949-770-7301 Fax: 949-770-0634 | |
Dr. Chyle E Beaird, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 24401 Muirlands Blvd Ste C, Lake Forest, CA 92630 Phone: 949-855-8845 Fax: 949-855-9167 | |
Mohammed Mahmood Ali, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23672 Birtcher Dr, Unit A, Lake Forest, CA 92630 Phone: 949-770-7301 Fax: 949-770-0634 | |
Francis Y Wong, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630 Phone: 949-452-7544 | |
Stephen John Misch, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630 Phone: 949-452-7544 | |
Gertrude Chancellor, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 22481 Aspan St Ste A, Lake Forest, CA 92630 Phone: 949-240-2272 Fax: 949-240-5869 |