Dr Nicholas William Koutrelakos, MD in Columbia, MD

Dr Nicholas William Koutrelakos, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Columbia, Maryland. His current practice location is 10710 Charter Dr, Suite G020, Columbia, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 964-2212.

Dr Nicholas William Koutrelakos is licensed to practice in Maryland (license number D0038509) 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 1912972415.

Contact Information

	Dr Nicholas William Koutrelakos, MD
	10710 Charter Dr, Suite G020, Columbia, MD 21044-3128
	(410) 964-2212
	(410) 964-0380

Map and Direction

Physician's Profile

Full Name	Dr Nicholas William Koutrelakos
Gender	Male
Speciality	Internal Medicine - Medical Oncology
Location	10710 Charter Dr, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912972415
Provider Enumeration Date: 02/20/2006
Last Update Date: 03/18/2021

Medicare PECOS Information:

PECOS PAC ID: 2163312216
Enrollment ID: I20110314000445

Medical Identifiers

Medical identifiers for Dr Nicholas William Koutrelakos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912972415	NPI	-	NPPES
533151000	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RX0202X	Internal Medicine - Medical Oncology	D0038509 (Maryland)	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 Nicholas William Koutrelakos allows following entities to bill medicare on his behalf.

Entity Name	Upmc Western Maryland Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184769952 PECOS PAC ID: 7113900655 Enrollment ID: O20040608000157

Entity Name	Upmc Western Maryland Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447976584 PECOS PAC ID: 7113396011 Enrollment ID: O20221216000041

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 Nicholas William Koutrelakos 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 Nicholas William Koutrelakos, MD 10710 Charter Dr, Suite G020, Columbia, MD 21044-3128 Ph: (410) 964-2212	Dr Nicholas William Koutrelakos, MD 10710 Charter Dr, Suite G020, Columbia, MD 21044-3128 Ph: (410) 964-2212

Reviews and Comments

Internal Medicine Doctors in Columbia, MD

Dr. Jon Kent Minford, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380
Dr. Jacob Cherian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Columbia, MD 21045 Phone: 410-964-5311 Fax: 410-964-8578
Dr. Tejaswi Rajasekhara Sastry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380
Michael Howard Kelemen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Suite 200b, Columbia, MD 21045 Phone: 410-964-5303
Dr. Tin O Maung, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5999 Harpers Farm Rd, Suite W250, Columbia, MD 21044 Phone: 410-772-8822 Fax: 410-772-9274
Dr. Jeffery Wayne Van Den Broek, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite 110, Columbia, MD 21044 Phone: 410-992-9797 Fax: 410-730-0942
Angela M. Kopack, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11055 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 Phone: 410-884-1311 Fax: 410-884-6033

Dr Nicholas William Koutrelakos, MD - Medicare Internal Medicine in Columbia, MD