Nicholas E Poulos, MD is a
Neurological Surgery physician based in Belleville, Illinois. Nicholas E Poulos is licensed to practice in Illinois (license number 036115133) and his current practice location is 340 W Lincoln St, Suite 540, Belleville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 222-1341.
NPI number for Nicholas E Poulos is 1144258310 and his current mailing address is 340 W Lincoln St, Suite 540, Belleville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144258310
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 03/10/2011
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 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
NOT enrolled with medicare and thus cannot 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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