Stephen M Koller, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Middlebury, Vermont. He went to University Of Vermont College Of Medicine and graduated in 1991 and has 34 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Porter Hospital Inc and his current practice location is
115 Porter Dr, Radiology Department, Middlebury, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 388-8851.
Stephen M Koller is licensed to practice in Vermont (license number 042-0009220) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538197421.
Physician's Profile
Full Name | Stephen M Koller |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 34 Years |
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Location | 115 Porter Dr, Middlebury, Vermont |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stephen M Koller attended and graduated from University Of Vermont College Of Medicine in 1991
NPI Data:
- NPI Number: 1538197421
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002970548
- Enrollment ID: I20090129000079
Medical Identifiers
Medical identifiers for Stephen M Koller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538197421 | NPI | - | NPPES |
0VN1562 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 042-0009220 (Vermont) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Porter Hospital Inc | 1850365180 | 70 |
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. Stephen M Koller allows following entities to bill medicare on his behalf.
Entity Name | University Of Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
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Entity Name | Porter Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134457013 PECOS PAC ID: 1850365180 Enrollment ID: O20050919000862 |
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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. Stephen M Koller 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 |
Stephen M Koller, MD 1119 Basin Harbor Rd, Bridport, VT 05734-9570 Ph: (802) 388-8851 | Stephen M Koller, MD 115 Porter Dr, Radiology Department, Middlebury, VT 05753-8423 Ph: (802) 388-8851 |
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