Christo W Koulisis, MD is a medicare enrolled "Specialist" physician in Niceville, Florida. He went to Albany Medical College Of Union University and graduated in 1983 and has 42 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Franciscan Medical Group and his current practice location is
1003 College Blvd W, Suite 4, Niceville, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 279-6789.
Christo W Koulisis is licensed to practice in Florida (license number ME0053933) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780673749.
Physician's Profile
Full Name | Christo W Koulisis |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 42 Years |
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Location | 1003 College Blvd W, Niceville, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Christo W Koulisis attended and graduated from Albany Medical College Of Union University in 1983
NPI Data:
- NPI Number: 1780673749
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 12/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517867807
- Enrollment ID: I20090924000733
Medical Identifiers
Medical identifiers for Christo W Koulisis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780673749 | NPI | - | NPPES |
07915 | Other | FL | BLUE CROSS BLUE SHIELD |
162510700 | Other | FL | DEPARTMENT OF LABOR |
256355000 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 4301503101 (Michigan) | Secondary |
174400000X | Specialist | ME0053933 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Franciscan Medical Group | 0547173866 | 1173 |
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. Christo W Koulisis allows following entities to bill medicare on his behalf.
Entity Name | Franciscan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
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Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356309553 PECOS PAC ID: 9537073960 Enrollment ID: O20031118001062 |
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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. Christo W Koulisis 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 |
Christo W Koulisis, MD 1003 College Blvd W Ste 4, Niceville, FL 32578-1060 Ph: (850) 279-6789 | Christo W Koulisis, MD 1003 College Blvd W, Suite 4, Niceville, FL 32578-1060 Ph: (850) 279-6789 |
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