| Keith David Rouleau, PA-C | |
|
29605 Solana Way, #n6, Temecula, CA 92591-3758 | |
| (510) 691-1267 | |
| Not Available |
| Full Name | Keith David Rouleau |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 29605 Solana Way, Temecula, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215130562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9193 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | PA19013 (California) | Primary |
| Entity Name | Riverside Emergency Physicians Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972539039 PECOS PAC ID: 0547173882 Enrollment ID: O20040729001307 |
| Entity Name | Culver Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699907923 PECOS PAC ID: 0244378677 Enrollment ID: O20091105000182 |
| Entity Name | Apex Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265711089 PECOS PAC ID: 4688844277 Enrollment ID: O20110909002790 |
| Entity Name | Emergency Physicians Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689963845 PECOS PAC ID: 8527234418 Enrollment ID: O20111227000049 |
| Entity Name | Corona Regional Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134629298 PECOS PAC ID: 9133481484 Enrollment ID: O20180326001396 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith David Rouleau, PA-C 29605 Solana Way, #n6, Temecula, CA 92591-3758 Ph: (510) 691-1267 | Keith David Rouleau, PA-C 29605 Solana Way, #n6, Temecula, CA 92591-3758 Ph: (510) 691-1267 |
Brittany M Johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31537 Rancho Pueblo Rd, Suite 105, Temecula, CA 92592 Phone: 951-699-0848 Fax: 951-699-0509 |
Krystina Carcone, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 31720 Temecula Pkwy, Temecula, CA 92592 Phone: 951-303-6900 |
Joel Roberts, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30589 Temecula Pkwy, Temecula, CA 92592 Phone: 951-412-1540 Fax: 951-412-1541 |
Amber Holden, MPAP, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 28780 Single Oak Dr Ste 160, Temecula, CA 92590 Phone: 619-277-9900 |
Mrs. Elizabeth A Severy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31537 Rancho Pueblo Rd, Temecula, CA 92592 Phone: 951-303-2277 |
Dr. Chris Towery, MD, PA-C, NP Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31700 Temecula Pkwy, Temecula, CA 92592 Phone: 951-600-4338 |
Lena Zaki Sarsam, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27450 Ynez Rd Ste 109, Temecula, CA 92591 Phone: 951-587-0070 Fax: 949-655-7878 |