Dr Darwin Martin Koller, MD in Chattanooga, TN

Dr Darwin Martin Koller, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Chattanooga, Tennessee. His current practice location is 910 Blackford St, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 778-6011.

Dr Darwin Martin Koller is licensed to practice in Tennessee (license number MD39891) 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 1568495638.

Contact Information

	Dr Darwin Martin Koller, MD
	910 Blackford St, Chattanooga, TN 37403-1405
	(423) 778-6011
	(865) 539-8008

Map and Direction

Physician's Profile

Full Name	Dr Darwin Martin Koller
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	910 Blackford St, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568495638
Provider Enumeration Date: 07/09/2006
Last Update Date: 11/21/2007

Medicare PECOS Information:

PECOS PAC ID: 3173557279
Enrollment ID: I20111219000497

Medical Identifiers

Medical identifiers for Dr Darwin Martin Koller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568495638	NPI	-	NPPES
3333990	Medicaid	TN
4110137	Other	TN	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	39891 (Tennessee)	Secondary
208000000X	Pediatrics	MD39891 (Tennessee)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	MD39891 (Tennessee)	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. Dr Darwin Martin Koller allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Of Memphis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20050127000072

Entity Name	Tri-cities Regional Emergency Physicians, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399

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. Dr Darwin Martin Koller 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
Dr Darwin Martin Koller, MD Po Box 633819, Cincinnati, OH 45263-0001 Ph: () -	Dr Darwin Martin Koller, MD 910 Blackford St, Chattanooga, TN 37403-1405 Ph: (423) 778-6011

Reviews and Comments

Pediatrics Doctors in Chattanooga, TN

Kathleen S Hunt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 910 Blackford St, Chattanooga, TN 37403 Phone: 423-778-6505 Fax: 423-778-3157
Yolanda Spraggins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1651 Gunbarrel Rd Ste 302, Chattanooga, TN 37421 Phone: 423-899-2904 Fax: 423-892-5058
Jane S Catterton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 300, Chattanooga, TN 37415 Phone: 423-877-4524 Fax: 423-875-5860
Mr. Ricardo Federico Causo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6025 Lee Hwy, Ste. 447, Chattanooga, TN 37421 Phone: 423-490-1547 Fax: 423-490-1197
Dr. Rachel A Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7550 Goodwin Rd, Chattanooga, TN 37421 Phone: 423-894-3252 Fax: 423-894-2237
Dr. William Woods Blake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-6170 Fax: 423-778-6938
Dr. Lisa Ann Lowery-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-6170 Fax: 423-778-6938

Dr Darwin Martin Koller, MD - Medicare Pediatrics in Chattanooga, TN