Brian Koll, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Harwich Port, Massachusetts. His current practice location is
710 Main St, Harwich Port, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 905-2800.
Brian Koll is licensed to practice in Massachusetts (license number 276952) 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 1225019367.
Physician's Profile
Full Name | Brian Koll |
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Gender | Male |
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Speciality | Internal Medicine - Infectious Disease |
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Location | 710 Main St, Harwich Port, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225019367
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 05/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 3274509880
- Enrollment ID: I20040904000078
Medical Identifiers
Medical identifiers for Brian Koll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225019367 | NPI | - | NPPES |
01475938 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 175611 (New York) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 175611 (New York) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 276952 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Koll allows following entities to bill medicare on his behalf.
Entity Name | Bimc Faculty Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548594203 PECOS PAC ID: 5799888392 Enrollment ID: O20070320000596 |
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Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124550280 PECOS PAC ID: 2264691070 Enrollment ID: O20121227000330 |
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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. Brian Koll 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 |
Brian Koll, MD 710 Main St, Harwich Port, MA 02646-1931 Ph: (508) 905-2800 | Brian Koll, MD 710 Main St, Harwich Port, MA 02646-1931 Ph: (508) 905-2800 |
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