Elaine Tina Koukoulas, MD in Towson, MD - Medicare Psychiatry & Neurology

Elaine Tina Koukoulas, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Towson, Maryland. Her current practice location is 6535 N Charles St, Suite 300, Towson, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 938-5252.

Elaine Tina Koukoulas is licensed to practice in Maryland (license number D0059124) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063505055.

Contact Information

	Elaine Tina Koukoulas, MD
	6535 N Charles St, Suite 300, Towson, MD 21204-5826
	(410) 938-5252
	(410) 928-5250

Map and Direction

Physician's Profile

Full Name	Elaine Tina Koukoulas
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	6535 N Charles St, Towson, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063505055
Provider Enumeration Date: 10/02/2006
Last Update Date: 02/26/2020

Medicare PECOS Information:

PECOS PAC ID: 4284633629
Enrollment ID: I20061212000282

Medical Identifiers

Medical identifiers for Elaine Tina Koukoulas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063505055	NPI	-	NPPES
5116023-00	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	D0059124 (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. Elaine Tina Koukoulas allows following entities to bill medicare on her behalf.

Entity Name	Sheppard Pratt Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518990712 PECOS PAC ID: 8224937610 Enrollment ID: O20040105000737

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. Elaine Tina Koukoulas 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
Elaine Tina Koukoulas, MD 6501 N Charles St, Baltimore, MD 21204-6819 Ph: (410) 938-3000	Elaine Tina Koukoulas, MD 6535 N Charles St, Suite 300, Towson, MD 21204-5826 Ph: (410) 938-5252

Reviews and Comments

Psychiatry & Neurology Doctors in Towson, MD

Dr. Celia Eirlys Foster, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6501 N Charles St, Towson, MD 21204 Phone: 410-938-5000
David Kaufman Jr., Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204 Phone: 410-832-2729
Dr. Christopher John Squillaro, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6535 N Charles St, Suite 300, Towson, MD 21204 Phone: 410-938-5252
Dr. Jay L Newman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6525 N Charles St, Towson, MD 21204 Phone: 410-938-2678
Dr. Billina R Shaw, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6501 N Charles St, Towson, MD 21204 Phone: 410-938-3000
Dr. Patrick Ernest Barta, M.D., PH.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 E Chesapeake Ave, #401, Towson, MD 21286 Phone: 443-470-9101
Dr. Thomas E. Allen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7600 Osler Dr, Suite 201, Towson, MD 21204 Phone: 410-821-8351

Elaine Tina Koukoulas, MD - Medicare Psychiatry & Neurology in Towson, MD