Christo W Koulisis, MD is a medicare enrolled "Specialist" physician in Niceville, Florida. 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 | |
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Experience | 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 in
NPI Data:
- NPI Number: 1780673749
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 12/29/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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