Individual ProviderDavid RaybouldAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address3315 Watt Ave, Sacramento, CA 95821-3600(916) 481-6800PECOS EnrollmentBased on the most recent information from CMS, provider David Raybould is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1255325734Provider TypeIndividualFull NameRaybould, DavidTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date9/9/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address3315 Watt Ave, Sacramento, CA 95821-3600Phone(916) 481-6800Fax(916) 481-1881Mailing LocationMailing AddressPO Box 660970, Sacramento, CA 95866-0970Phone(916) 481-6800Fax(916) 481-1881Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseA46615CaliforniaProvider IdentifiersIDDescriptionIssuerIDYYY20507YDescriptionMedicaidIssuerUnlistedCalifornia