Evangeline Koutalianos, MD in Syracuse, NY - Medicare Physical Medicine And Rehabilitation

Evangeline Koutalianos, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Syracuse, New York. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Physical Medicine And Rehab Medical Service Group and her current practice location is 750 E Adams St, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 464-5820.

Evangeline Koutalianos is licensed to practice in New York (license number 299948) 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 1780090035.

Contact Information

	Evangeline Koutalianos, MD
	750 E Adams St, Syracuse, NY 13210-2306
	(315) 464-5820
	Not Available

Map and Direction

Physician's Profile

Full Name	Evangeline Koutalianos
Gender	Female
Speciality	Physical Medicine And Rehabilitation
Experience	11 Years
Location	750 E Adams St, Syracuse, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Evangeline Koutalianos graduated from medical school in 2013

NPI Data:

NPI Number: 1780090035
Provider Enumeration Date: 07/08/2014
Last Update Date: 05/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8729323597
Enrollment ID: I20190808003261

Medical Identifiers

Medical identifiers for Evangeline Koutalianos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780090035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081P2900X	Physical Medicine & Rehabilitation - Pain Medicine	299948 (New York)	Secondary
208100000X	Physical Medicine & Rehabilitation	299948 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospital S U N Y Health Science Center	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physical Medicine And Rehab Medical Service Group	8123911500	19

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. Evangeline Koutalianos allows following entities to bill medicare on her behalf.

Entity Name	Physical Medicine & Rehab Medical Service Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336189919 PECOS PAC ID: 8123911500 Enrollment ID: O20040209000134

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. Evangeline Koutalianos 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
Evangeline Koutalianos, MD 750 E Adams St, Syracuse, NY 13210 Ph: () -	Evangeline Koutalianos, MD 750 E Adams St, Syracuse, NY 13210-2306 Ph: (315) 464-5820

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Syracuse, NY

David M Kanter, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5820 Fax: 315-464-8699
Andrew Roderick, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5540
Bernadette Dunn, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5820 Fax: 315-464-8699
Leslie Gale, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-2300
Danielle Francis Spain, PT, DPT, CLT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5400
Dr. Mahender R Goriganti, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1000 E Genesee St Ste 100a, Syracuse, NY 13210 Phone: 315-423-4155 Fax: 315-423-4199
Kathlin Ramsdell Wolfe, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5540

Evangeline Koutalianos, MD - Medicare Physical Medicine And Rehabilitation in Syracuse, NY