Nicholas J Koutlas, MD in Charlottesville, VA

Nicholas J Koutlas, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Charlottesville, Virginia. His current practice location is 1215 Lee St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 243-3090.

Nicholas J Koutlas is licensed to practice in Virginia (license number 0101281981) 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 1932605821.

Contact Information

	Nicholas J Koutlas, MD
	1215 Lee St, Charlottesville, VA 22908-3363
	(434) 243-3090
	(434) 244-9445

Map and Direction

Physician's Profile

Full Name	Nicholas J Koutlas
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	1215 Lee St, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932605821
Provider Enumeration Date: 04/01/2018
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5799193595
Enrollment ID: I20240522002073

Medical Identifiers

Medical identifiers for Nicholas J Koutlas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932605821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0101281981 (Virginia)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	0101281981 (Virginia)	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 J Koutlas allows following entities to bill medicare on his behalf.

Entity Name	University Of Virginia Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780

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 J Koutlas 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 J Koutlas, MD Po Box 749112, Atlanta, GA 30374-9112 Ph: () -	Nicholas J Koutlas, MD 1215 Lee St, Charlottesville, VA 22908-3363 Ph: (434) 243-3090

Reviews and Comments

Internal Medicine Doctors in Charlottesville, VA

Daniel S. Strand, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1240 Lee St, Charlottesville, VA 22908 Phone: 434-243-5233 Fax: 434-244-7526
Dr. Numaan F. Malik, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: Lee St Fl 2, Charlottesville, VA 22908 Phone: 434-924-5219 Fax: 434-924-9720
Dr. Asma Shahid Habib, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-9119 Fax: 434-924-3300
Amber N. Inofuentes, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-4288 Fax: 434-243-7310
Dr. Matthew J Van Dongen, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 674 Hillsdale Dr Ste 3, Charlottesville, VA 22901 Phone: 434-982-6282 Fax: 434-964-1432
Mark Thomas Worthington, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-3090 Fax: 434-244-9445
Dr. Emanuel Cirenza, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 590 Peter Jefferson Place, Suite 175, Charlottesville, VA 22911 Phone: 434-982-6900 Fax: 434-982-8420

Nicholas J Koutlas, MD - Medicare Internal Medicine in Charlottesville, VA