Mr Douglas Tyler Coulter, APRN, CRNA in Louisville, KY - Medicare Nurse Anesthetist, Certified Registered

Mr Douglas Tyler Coulter, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Louisville, Kentucky. His current practice location is 200 Abraham Flexner Way, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 587-4404.

Mr Douglas Tyler Coulter is licensed to practice in Kentucky (license number 4004614) 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 1144912437.

Contact Information

	Mr Douglas Tyler Coulter, APRN, CRNA
	200 Abraham Flexner Way, Louisville, KY 40202-2877
	(502) 587-4404
	(502) 587-4156

Map and Direction

Provider's Profile

Full Name	Mr Douglas Tyler Coulter
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	200 Abraham Flexner Way, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144912437
Provider Enumeration Date: 05/24/2023
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 4587023981
Enrollment ID: I20230703001749

Medical Identifiers

Medical identifiers for Mr Douglas Tyler Coulter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144912437	NPI	-	NPPES
300078204	Medicaid	IN
7100904280	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4004614 (Kentucky)	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. Mr Douglas Tyler Coulter allows following entities to bill medicare on his behalf.

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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. Mr Douglas Tyler Coulter 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
Mr Douglas Tyler Coulter, APRN, CRNA Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328	Mr Douglas Tyler Coulter, APRN, CRNA 200 Abraham Flexner Way, Louisville, KY 40202-2877 Ph: (502) 587-4404

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Louisville, KY

Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056

Mr Douglas Tyler Coulter, APRN, CRNA - Medicare Nurse Anesthetist, Certified Registered in Louisville, KY