Nicholas E Poulos, MD is a medicare enrolled "Neurological Surgery" physician in Belleville, Illinois. His current practice location is
340 W Lincoln St, Suite 540, Belleville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 222-1341.
Nicholas E Poulos is licensed to practice in Illinois (license number 036115133) 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 1144258310.
Physician's Profile
Full Name | Nicholas E Poulos |
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Gender | Male |
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Speciality | Neurological Surgery |
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Location | 340 W Lincoln St, Belleville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144258310
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 03/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 2163439555
- Enrollment ID: I20060309000305
Medical Identifiers
Medical identifiers for Nicholas E Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144258310 | NPI | - | NPPES |
036115133 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 036115133 (Illinois) | 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. Nicholas E Poulos allows following entities to bill medicare on his behalf.
Entity Name | St. Elizabeth's Hospital Of The Hospital Sisters Of The Third Order Of |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194736728 PECOS PAC ID: 6406753011 Enrollment ID: O20031212000629 |
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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. Nicholas E Poulos 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 |
Nicholas E Poulos, MD 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 Ph: (618) 222-1341 | Nicholas E Poulos, MD 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 Ph: (618) 222-1341 |
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