Georgia Maria Kousoulis, PA-C is a medicare enrolled "Physician Assistant" physician in Salisbury, Maryland. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Tidalhealth Specialty Care Llc and her current practice location is
100 E Carroll St, Salisbury, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 543-7536.
Georgia Maria Kousoulis is licensed to practice in Maryland (license number C0006463) 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 1376784918.
Physician's Profile
Full Name | Georgia Maria Kousoulis |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 16 Years |
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Location | 100 E Carroll St, Salisbury, Maryland |
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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. |
Medical Education and Training:
- Georgia Maria Kousoulis graduated from medical school in 2008
NPI Data:
- NPI Number: 1376784918
- Provider Enumeration Date: 03/11/2009
- Last Update Date: 06/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103976063
- Enrollment ID: I20171003004135
Medical Identifiers
Medical identifiers for Georgia Maria Kousoulis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376784918 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | C5-0000659 (Delaware) | Secondary |
363A00000X | Physician Assistant | C0006463 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Tidalhealth Specialty Care Llc | 7113340845 | 192 |
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. Georgia Maria Kousoulis 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 |
Georgia Maria Kousoulis, PA-C 100 E Carroll St, Salisbury, MD 21801-5422 Ph: (410) 546-6400 | Georgia Maria Kousoulis, PA-C 100 E Carroll St, Salisbury, MD 21801-5422 Ph: (410) 543-7536 |
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