Diana E Koelliker, MD is a medicare enrolled "Emergency Medicine" physician in Telluride, Colorado. She went to Medical College Of Georgia School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Telluride Medical Center and her current practice location is
500 W Pacific Ave, Telluride, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 728-3848.
Diana E Koelliker is licensed to practice in Colorado (license number DR.0042229) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871567883.
Physician's Profile
| Full Name | Diana E Koelliker |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 27 Years |
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| Location | 500 W Pacific Ave, Telluride, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diana E Koelliker attended and graduated from Medical College Of Georgia School Of Medicine in 1997
NPI Data:
- NPI Number: 1871567883
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 09/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 9234138165
- Enrollment ID: I20061204000276
Medical Identifiers
Medical identifiers for Diana E Koelliker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871567883 | NPI | - | NPPES |
| 59673222 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | DR.0042229 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Telluride Medical Center | 2961496807 | 5 |
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. Diana E Koelliker allows following entities to bill medicare on her behalf.
| Entity Name | Telluride Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508807694
PECOS PAC ID: 2961496807
Enrollment ID: O20040413000816 |
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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. Diana E Koelliker 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 |
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Diana E Koelliker, MD
500 W Pacific Ave, Po Box 1229,
Telluride, CO 81435-1229
Ph: (970) 728-3848 | Diana E Koelliker, MD
500 W Pacific Ave,
Telluride, CO 81435-1229
Ph: (970) 728-3848 |
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