Nicholas Koullas, DO in Macon, GA - Medicare Surgery

Nicholas Koullas, DO is a medicare enrolled "Surgery" physician in Macon, Georgia. His current practice location is 777 Hemlock St, Macon, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 633-1891.

Nicholas Koullas is licensed to practice in Georgia (license number 12155) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407415672.

Contact Information

	Nicholas Koullas, DO
	777 Hemlock St, Macon, GA 31201-2102
	(478) 633-1891
	Not Available

Physician's Profile

Full Name	Nicholas Koullas
Gender	Male
Speciality	Surgery
Location	777 Hemlock St, Macon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407415672
Provider Enumeration Date: 06/11/2019
Last Update Date: 10/15/2020

Medicare PECOS Information:

PECOS PAC ID: 6608105655
Enrollment ID: I20190917001479

Medical Identifiers

Medical identifiers for Nicholas Koullas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407415672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	12155 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Koullas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicholas Koullas, DO 777 Hemlock St, Macon, GA 31201-2102 Ph: () -	Nicholas Koullas, DO 777 Hemlock St, Macon, GA 31201-2102 Ph: (478) 633-1891

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Surgery Doctors in Macon, GA

Howard J Perofsky, M D Surgery Medicare: Accepting Medicare Assignments Practice Location: 682 Hemlock St, Suite 230, Macon, GA 31201 Phone: 478-742-4847 Fax: 478-742-5442
Dr. Brown Nnamdi Ekeledo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 770 Pine St, Suite 550, Macon, GA 31201 Phone: 478-746-2719 Fax: 478-746-4808
Stacey M Lowe, Surgery Medicare: Not Enrolled in Medicare Practice Location: 146 Wesleyan Way, Macon, GA 31210 Phone: 205-712-4245
Dudley Benjamin Christie Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 840 Pine St Ste 750, Macon, GA 31201 Phone: 478-633-1458 Fax: 478-633-5025
Heidi Jo Haun, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-1891
Mr. Taylor Wright Mclendon, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 College St, Macon, GA 31207 Phone: 478-808-8517
Dr. Hany N Atalah, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4801 Oxford Rd, Macon, GA 31210 Phone: 443-799-8823

Nicholas Koullas, DO - Medicare Surgery in Macon, GA